March 2015 Volume 25, Issue 3
3-D Printing Changes the Face of Transplant Surgery
ALSO INSIDE:
POC Ultrasound Presents Opportunities, Challenges
Reaping the Benefits of Big Data
“Attitude” Project Improves Patient Service
Imaging Shift Impacts Patients
Submit Abstracts by April 8
See Page 23
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MARCH 2015 • VOLUME 25, NUMBER 3
EDITOR
David M. Hovsepian, M.D.
R&E FOUNDATION
CONTRIBUTING EDITOR
FEATURES
R. Gilbert Jost, M.D.
UP FRONT
EXECUTIVE EDITOR
1 First Impression
MANAGING EDITOR
1Numbers in the News
3RSNA Board of Directors Report
5
POC Ultrasound Presents
Opportunities, Challenges
4 Technology Forum
RADIOLOGY’S FUTURE
15 R&E Foundation Donors
NEWS YOU CAN USE
18 Radiology in Public Focus
7
Reaping the Benefits of Big Data
19 Journal Highlights
21 Education and Funding
Opportunities
22 Residents & Fellows Corner
23 Annual Meeting Watch
23 Value of Membership
9
“Attitude” Project Improves
Patient Service
24 RSNA.org
Lynn Tefft Hoff, M.C.M.
Beth Burmahl
RSNA NEWS STAFF WRITER
Paul LaTour
GRAPHIC DESIGNER
Erick Jurado
EDITORIAL ADVISORS
Mark G. Watson
Executive Director
Roberta E. Arnold, M.A., M.H.P.E.
Assistant Executive Director
Publications and Communications
Marijo Millette
Director: Public Information and
Communications
EDITORIAL BOARD
David M. Hovsepian, M.D.
Chair
Gary J. Whitman, M.D.
Vice-chair
Kavita Garg, M.D.
Bruce G. Haffty, M.D.
Bonnie N. Joe, M.D., Ph.D.
Edward Y. Lee, M.D., M.P.H.
Laurie A. Loevner, M.D.
Tirath Y. Patel, M.D.
Martin P. Torriani, M.D.
Vahid Yaghmai, M.D.
Mary C. Mahoney, M.D.
Board Liaison
2015 RSNA BOARD OF DIRECTORS
11 Imaging Shift Impacts Patients
RSNA MISSION
The RSNA promotes excellence in
patient care and healthcare delivery
through education, research and
technologic innovation.
13
3-D Printing Changes the Face of
Transplant Surgery
Follow us for exclusive
news, annual meeting
offers and more!
Richard L. Ehman, M.D.
Chairman
Vijay M. Rao, M.D.
Liaison for Information Technology
and Annual Meeting
Valerie P. Jackson, M.D.
Liaison for Education
James P. Borgstede, M.D.
Liaison for International Affairs
Mary C. Mahoney, M.D.
Liaison for Publications and
Communications
Bruce G. Haffty, M.D.
Liaison for Science
Ronald L. Arenson, M.D.
President
Richard L. Baron, M.D.
President-elect/Secretary-Treasurer
FIRST IMPRESSION
Stadnyk Elected President of St. Louis
Metropolitan Medical Society
Numbers
in the News
Michael J. Stadnyk, M.D., a radiologist with
St. Luke’s Hospital and ProSight Radiology,
Chesterfield, Missouri, has been elected
2015 president of the St. Louis Metropolitan
Medical Society.
4
Dr. Stadnyk served as a St. Louis Metropolitan Medical
Society councilor from 2009 to 2011, as secretary in 2012,
as vice-president in 2013, and as president-elect in 2014.
He has been a delegate to the Missouri State Medical
Stadnyk
Association since 2009.
Dr. Stadnyk earned his medical degree from the University of Missouri-Kansas
City. He is a past-president of the Greater St. Louis Society of Radiologists and is an
RSNA member.
NCRP Issues Statement About
Fluoroscopically-Guided Interventions
The National Council on Radiation Protection and
Measurements (NCRP) has released Statement No. 11,
“Outline of Administrative Policies for Quality Assurance
and Peer Review of Tissue Reactions Associated with
Fluoroscopically-Guided Interventions (FGI).”
This statement is intended to clarify recommendations given in the NCRP Report
No. 168, “Radiation Dose Management for Fluoroscopically-Guided Interventional
Medical Procedures” (NCRP, 2010). It provides detailed recommendations for a facility’s
QA-PR process and recommendations for administrative practices for the evaluation of
known or suspected FGI radiation injuries. Facilities typically investigate and characterize all unusual medical events via a QA-PR committee composed of professional peers of
the involved practitioner. Evaluating those radiation management processes and practices
discussed in this Statement shall be a part of an interventional service’s QA-PR program.
NCRP Report No. 168 emphasizes that the safe performance of FGI procedures
requires controlling radiation dose in order to prevent unexpected or avoidable tissue
reactions and to minimize the severity of medically unavoidable injuries. It also provides
guidance for controlling dose and for patient post-procedure follow-up. Similar guidance
has been provided by professional societies and by several national and international
organizations.
The statement is available at ncrponline.org/Publications/Statements/Statement_11.pdf.
ROENTGEN NOMINATIONS
DUE BY APRIL 1
Nominations are being accepted now for the RSNA
Roentgen Resident/Fellow Research Award recognizing residents and fellows who have made significant
contributions to their departments’ research efforts as evidenced
by presentations and publications of scientific papers, receipt of
research grants or other contributions.
The nomination deadline is April 1. Learn about the nomination
process and see a list of past recipients at: RSNA.org/Roentgen_
Research_Award.aspx.
1 RSNA News | March 2015
Dimensions of service excellence—
communication, attitude, responsiveness, respect and caring—that
radiology personnel at Aga Khan
University Hospital strove to improve
with a special initiative. Read about
the successful project, presented at
RSNA 2014, on Page 9.
15
Number of topics, including breast
imaging, pediatric radiology and
ultrasound, covered in the new
RadioGraphics ABR Diagnostic
Radiology Core Exam Study Guide
Article Index. Read more about this
new study tool on Page 22.
100
Amount, in dollars, that RSNA members pay in dues during their first
year of practice. Turn to Page 23 to
learn more about reduced rates for
members in transition.
426
Imaging procedure utilization rate
per 1,000 beneficiaries in hospital
outpatient facilities in 2012, up from
418 the year before. Learn how a
shift in outpatient advanced imaging
from private imaging centers to
these hospital facilities is raising
concerns about reduced access for
patients and increased costs for
payers, on Page 11.
SRU Presents Annual Awards
Barbara B. Gosink, M.D., received the 2014 Lawrence A. Mack
Lifetime Achievement Award at the recent Society of Radiologists in Ultrasound (SRU) annual meeting in Denver. Dr. Gosink
is an Emeritus Fellow of the SRU who formerly practiced at the
University of California San Diego.
The late Harvey L. Neiman, M.D., was honored with the 2014
Distinguished Service Award. Dr. Neiman, who died June 5,
2014, received the RSNA Gold Medal in 2013 and served as chief
Gosink
Neiman
Jo
executive officer of the American College of Radiology, among
many other accomplishments.
Patricia C. Jo, M.D., of the University of Calgary in Canada, received the 2014 Member-in-Training Award for her paper “Nodules in a Cirrhotic Liver: The Significant Contributions of Contrast Enhanced Ultrasound.”
ASHNR Honors Swartz with 2014 Gold Medal
The American Society of Head and Neck Radiology (ASHNR) awarded
its 2014 Gold Medal to Joel D. Swartz, M.D., during the recent ASHNR
annual meeting in Seattle, Washington.
An authority in his field, Dr. Swartz co-authored the textbook “Imaging the Temporal Bone,” which is in
its fourth edition, and has been co-editor of “Seminars in Ultrasound, CT and MR” since 1994.
Dr. Swartz served as chair of the Department of Radiology at Germantown Hospital in Philadelphia from
1991 to 1999 and currently provides remote interpretation of MR and CT images via teleradiology from his
home office.
Swartz
AAWR Announces 2014 Awards
The American Association for Women Radiologists (AAWR) has announced its 2014 award recipients:
Rao
Travis
Angtuaco
Bahl
Hiniker
Vijay M. Rao, M.D., the David C. Levin Professor and chair of the department of radiology at Thomas Jefferson
University and RSNA Board Liaison for Information Technology and Annual Meeting, received the Marie Skoldowska-Curie Award.
Elizabeth LaTorre Travis, Ph.D., also received a Marie Skoldowska-Curie Award. Dr. Travis is the associate vice
president for women faculty programs, Mattie Allen Fair Professor in cancer research and professor in the departments of experimental radiation oncology and pulmonary medicine at The University of Texas MD Anderson Cancer
Center in Austin, Texas.
Teresita L. Angtuaco, M.D., a professor of radiology at the University of Arkansas Medical School (UAMS), director
of imaging in the radiology department and chief of ultrasound, received the Alice Ettinger Distinguished Achievement Award.
Manish Bahl, M.D., a fourth-year radiology resident at Duke University Hospital received the Lucy Frank Squire Distinguished Resident Award in Diagnostic Radiology.
Susan Hiniker, M.D., a fifth-year resident in the department of radiation oncology at Stanford University Medical
Center, received the Eleanor Montague Distinguished Resident Award in Radiation Oncology. Dr. Hiniker was the
recipient of the Varian Medical Systems/RSNA Roentgen Resident/Fellow Research Grant in 2012.
March 2015 | RSNA News 2
FIRST IMPRESSION
RSNA Board of Directors Report
At meetings during RSNA 2014, the RSNA Board of Directors reflected upon a successful first year of the Centennial celebration and looked ahead to the 100th anniversary
of the Society's founding in 2015.
Centennial Showcase Returns
for RSNA 2015
Plans are underway for RSNA 2015, with
the theme, “Innovation is the Key to Our
Future.” As part of the Society's centennial celebration, RSNA turns its focus
toward the Society’s next 100 years. In an
updated Centennial Showcase, attendees
will be invited to ponder where the technology, innovation, and informatics that
have driven our specialty thus far will take
us next, and imagine how our current
efforts in patient-centered care will help
us to better serve our patients.
100th Annual Meeting Was
a Great Success
Before contemplating the future, RSNA
celebrated its history. At RSNA 2014, the
Centennial Showcase featured a welcome
from a virtual Wilhelm Roentgen and
displays detailed how the Society’s mission
and programs and services have supported
community, research, education, innovation, and patient care throughout
the years.
The Society was pleased to welcome
more than 56,000 attendees, including
11,000 international attendees from
125 countries, to its 100th annual meeting. Those attendees, as well as RSNA
members who were unable to attend,
are reminded that they can access RSNA
2014 electronic education exhibits—using
their badge number or RSNA account
number—throughout 2015 at
dps.rsna.org.
The celebration of our history continues throughout this year on the Society's
Centennial website, RSNA.org/Centennial.
Visitors will find facts and photos from
the Society’s past, as well as dozens of
amazing images submitted to our Centennial image contest.
Collaborations Continue
RSNA is pleased to work with other
radiologic societies worldwide to further
developments in medical imaging. The
3 RSNA News | March 2015
participants in the RadioGraphics reader
survey reported that they find the journal
useful or very useful in clinical practice;
in addition, some 81,000 RadioGraphics
credits were issued in 2014. Radiology
podcasts, meanwhile, continue to be popular, with approximately 62,000 downloads in 2014.
This year, look for the RadioGraphics
ABR Diagnostic Radiology Core Exam
Study Guide Article Index (see Page 22
for more details).
Richard L. Ehman, M.D.
Chairman, 2015 RSNA
Board of Directors
Board recently approved a joint International Visiting Professor (IVP) program
with the Asian Oceanian Society of
Radiology (AOSR) and an RSNA/AOSR
Joint Symposium to be conducted at
both the RSNA Annual Meeting and the
Asian Oceanian Congress of Radiology
(AOCR) in 2016.
RSNA is working with the Interamerican College of Radiology (CIR) to present a refresher course on body CT at the
CIR course in Cancun in June.
In other ongoing collaborations, RSNA
was pleased to host a meeting of 16
molecular imaging societies, with the goal
of coordinating their efforts, at RSNA
2014. The work of the Quantitative
Imaging Biomarkers Alliance (QIBA) also
continues, with a goal of internationalization to harmonize quantification efforts
throughout the world.
Journals
Last year was an exciting one for the
RSNA journals. All Radiology and RadioGraphics articles accessed online are now
accompanied by a list of related articles,
to assist in research and deeper exploration of a topic. Nearly 100 percent of
Informatics
There are now more than 250 structured
reporting templates offered in RSNA’s
library at RSNA.org/Reporting. Free and
not subject to license restrictions on
their reuse, the report templates create
uniformity and improve communication with referring providers and enable
practices to meet accreditation criteria
and earn pay-for-performance incentives.
RSNA encourages reporting vendors to
use the templates to develop software
products that enable radiologists to create
high-quality radiology reports
more efficiently.
R&E Campaign Underway
I encourage all RSNA members to
contribute to “Inspire-Innovate-Invest:
The Campaign for Funding Radiology's
Future®,” launched by the R&E Foundation at RSNA 2014. The campaign goal
is to raise $17.5 million to fund grants in
radiologic research and education, bridging gaps in funding for promising investigators and educators.
I am pleased to report RSNA membership now tops 54,000. The other members of the Board of Directors and I look
forward to serving each and all of you
throughout the coming year.
Richard L. Ehman, M.D.
Chairman, 2015 RSNA
Board of Directors
Technology Forum
IHE® Connectathon Forges Path
to Standard Interoperability
The 17th annual IHE® North American Connectathon, health
information technology’s (HIT) largest interoperability testing event, was held Jan. 28-Jan. 30, in Cleveland. The
event allows a wide spectrum of healthcare vendors to test
implementations of IHE Profiles and their ability to connect
effectively with industry peers. More than 500 engineers
gathered for five intense days of interoperability testing.
Connectathon testing helps the HIT industry achieve the level of
interoperability needed to meet the demands of healthcare providers and
patients for convenient, secure access to electronic health records (EHRs).
The event has also become an important milestone for HIT standards
bodies, emerging health information
organizations (HIOs) and government
agencies, whose success relies on
achieving effective interoperability of
HIT systems.
This was apparent as users and developers of these systems gathered
at the Jan. 28 Connectathon Conference to explore challenges in realizing
wider EHR usage, which has increased significantly but has yet to attain
the interoperability necessary to achieve continuity of care, population
health, patient management and clinical quality improvement.
C. Martin Harris, M.D., M.B.A., chief information officer of the Cleveland Clinic, presented the keynote address, “The Path Forward and How
Do We Get There." Other sessions included, “The Path to Interoperability
through Testing and Certification,” “Connecting Across the Continuum of
Care” and “IHE’s Role in Mission Critical Interoperability Standards Projects.”
RSNA and the Healthcare Information and Management Systems Society (HIMSS) have been sponsors of the Connectathon since its inception in
1999. Located for many years in Chicago, the 2014 Connectathon was held
for the first time at the HIMSS Innovation Center in Cleveland. Connectathons are also held annually in Europe, Japan and Korea.
For more information on IHE, go to RSNA.org/ihe.aspx.
THIS MONTH IN THE RSNA NEWS ONLINE VERSION
Get more of this month’s news online at RSNA.org/News.
Enjoy interactive features including video, audio, slide presentations and more. Go online to leave us a comment and
easily share stories via
social media as well.
View a series of videos taken
at RSNA 2014 on the role of imaging and 3-D printing in face transplant
surgery, including video animation of a face transplantation surgery and an
interview and press conference with researcher Frank Rybicki, M.D., Ph.D.
RSNA NEWS
March 2015 • Volume 25, Number 3
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March 2015 | RSNA News 4
FEATURE
Radiology Must Be Part of Discussion on
POC Ultrasound
BY MARY HENDERSON AND RICHARD S. DARGAN
The rising use of bedside or point-of-care (POC) ultrasound presents both
opportunities and challenges for the medical community, along with a need for
increased training in the modality for medical students and practitioners.
For radiologists, the growth in POC ultrasound
among non-imaging specialties causes concern
about lost business and shortfalls in patient care.
Nevertheless, two leading authorDaily Bulletin
ities who presented the RSNA
coverage of
2014 Controversy Session, “Point
RSNA 2014
of Care Ultrasound: Is there an
is available at
Owner or Do We All Just Rent?”
RSNA.org/
stress that POC should not be
bulletin.
viewed as a threat and may even
present opportunities for radiologists to become
more relevant in the ultrasound sphere.
“From the perspective of radiologists, there is
plenty of fear and trepidation and in some cases
anger about anybody but radiologists doing ultrasound,” said co-presenter Brian D. Coley, M.D.,
a pediatric radiologist at Cincinnati Children's
Hospital and treasurer of the American Institute for
Ultrasound in Medicine. However, he added, much
of this fear and anger is unfounded and fails to recognize the potential benefits of POC ultrasound to
medicine and the opportunity radiologists have to
impact the discussion on this burgeoning modality.
“What if I told you that point-of-care ultrasound could be a good thing?” he asked. “There is
real, evidence-based data showing that in the right
hands with the right training, it's a very powerful
tool for patient care.”
Evolving POC Technology Creates New
Uses—and New Users
In only a few decades, ultrasound has evolved
from refrigerator-sized machines on carts to relatively inexpensive devices that fit in the palm of
the hand. In fact, the cost of ultrasound units has
dropped from $40,000 for a cart-based machine
to $7,000 for a hand-held unit in just five years,
according to J. Christian Fox, M.D., a professor
of clinical emergency medicine and director of
instructional ultrasound at the University of California, Irvine.
Bahner, Coley at RSNA 2014
This evolution, along with concerns over radiation exposure, has launched a boom in POC
ultrasound that shows no signs of slowing. In a
study published in the January 2014 edition of
the Western Journal of Emergency Medicine,
Dr. Fox wrote that affordability and improved
image quality could make bedside ultrasound the
new figurative stethoscope. “Besides the stethoscope, since the time of Hippocrates, there has
been no technology that doctors use at the bedside that's had any impact on clinical diagnosis,”
Dr. Fox said.
“The stethoscope is an antiquated device,”
said Scott D. Solomon, M.D., a professor of
medicine at Harvard Medical School in Boston.
“Although we can learn an enormous amount
with it, the capability offered by POC ultrasound far exceeds it.
“Handheld ultrasound didn’t exist until about
10 years ago,” Dr. Solomon added. “There are
devices now that aren’t much bigger than an
iPhone, with image quality as good as those produced by large machines 10 to 15 years ago.”
Among the benefits is the fact that POC ultrasound has no body region or organ of interest
Fox
Blaivas
“Ultrasound is one of the few areas in imaging where not
everyone is trying to divide up the same pie. Ultrasound volumes
are not dropping in the radiology department, because point-ofcare applications have made the pie bigger.”
BRIAN D. COLEY, M.D.
5 RSNA News | March 2015
limitations, said Michael Blaivas, M.D., a professor of emergency
medicine at the University of South Carolina Medical School.
“POC ultrasound providers can scan anything and everything
that is helpful to the patient in the clinical setting,” Dr. Blaivas
said. “If a patient needs a biopsy, then ultrasound will be used to
guide the needle. POC users
can scan the eye looking for a detached retina. There is no
limitation to the focused exam anatomically as far as relevant
clinical questions.”
As a result, the modality is increasingly being used by emergency physicians, intensivists and anesthesiologists—among other
specialties—in the U.S. and beyond.
Despite its expansion into non-radiology specialties, the prospect of radiology losing business is likely overblown, according
to Dr. Coley. POC applications are for different issues, he said,
such as resuscitations and other procedures where time is of the
essence. “Ultrasound is one of the few areas in imaging where
not everyone is trying to divide up the same pie,” he said. “Ultrasound volumes are not dropping in the radiology department,
because point-of-care applications have made the pie bigger.”
Training Must Begin Early
Still, concerns persist over non-radiologist physicians doing ultrasound without adequate education, training and experience. Even
the so-called “yes or no” questions answered in a focused ultrasound exam carry with them the possibility of false-negatives, Dr.
Coley noted.
Practitioners should be well-trained in normal and abnormal
sonographic findings, artifacts and proper use of the controls on
the ultrasound machine to achieve good image quality, according
Peter M. Doubilet, M.D., Ph.D., senior vice-chair of the Department of Radiology at Brigham and Women’s Hospital, Boston,
and a professor of radiology at Harvard Medical School. “Otherwise, we will see a plethora of false positive diagnoses leading
to inappropriate follow-up testing and treatment, false negative
diagnoses leading to delays in diagnosis and management, and
misguided needles leading to patient injuries.”
That training should begin in the first year of medical
school, said David Bahner, M.D., director of ultrasound at the
Ohio State University Department of Emergency Medicine in
Columbus, who co-presented the Controversy Session on POC
Ultrasound at RSNA 2014. “Ultrasound in medical education
is growing,” he said. “Barriers exist, including a lack of space,
equipment and financial support, but they can be overcome.”
Drs. Fox and Solomon advocate the integration of ultrasound
into all four years of the medical school curriculum—a step 16
medical schools have already taken, Dr. Blaivas said.
Training needs to occur in two
different realms: medical school and
Access the American
continuing medical education (CME),
Institute of Ultrasound in
Dr. Solomon said. But it appears that
Medicine’s (AIUM)
won’t happen overnight. Dr. Bahner
Education Portal
Clearinghouse of resources expressed concern about the slow pace
designed to facilitate the
of change, noting that almost a third of
integration of ultrasound
U.S. medical schools are lagging behind
into medical school
in bringing ultrasound training
education at AIUM.org.
into the curriculum. He attributed the
slow adoption to a problem common in medicine, which he
described as a “cacophony of voices.”
“We're all speaking with different voices when we need to
speak with one, and that's why a lot of healthcare is broken,” he
said. As an example, Dr. Bahner noted that the POC ultrasound/
ultrasound training is not yet on the agenda of the Liaison Committee on Medical Education, jointly sponsored by the Association of American Medical Colleges and the American Medical
Association, as the recognized accrediting body for programs
leading to medical degrees in the U.S.
With medical education struggling to catch up to the boom
in ultrasound, it's more essential than ever that radiologists drive
the discussion and ensure quality care, Dr. Coley said. “There
has been a contentious history, but there also are many areas of
collaboration,” he said. “For instance, the medical executive committee often will go to the radiologist and ask what the requirements should be for non-radiologists to use ultrasound. And if
you volunteer to help, 99 times out of 100 you will be
welcomed with open arms and you can direct the course for a
particular institution.”
“Radiologists are finally coming around and saying, 'we have
to be involved’,” Dr. Coley said. “It's not the same field it was 30
years ago and that's OK.”
But ultimately, coordination needs to occur among all specialties for POC ultrasound to realize its full potential, Dr. Bahner
said. “The future of medicine needs to be built by the house of
medicine rather than ‘an apartment complex’ of medicine with
individual silos not working together in a coordinated fashion,”
he said.
Added Dr. Fox: “We need to join together and set criteria for
each medical specialty, as well as clear indications for the use of
POC ultrasound and screening protocols.”
WEB EXTRAS
q
MARY HENDERSON, is a writer based in Bloomington, Ind.
RICHARD S. DARGAN is writer based in Albuquerque, N.M.
Both specialize in health and medicine.
ACR Stresses Need for Training in POC Ultrasound
The American College of Radiology (ACR) issued a 2013 resolution on Point of Care (POC) ultrasound,
stressing the need for training, credentialing and ongoing quality assurance for all healthcare providers
performing and interpreting sonographic examinations.
“Targeted POC ultrasound can be useful as a limited bedside adjunct to the physical examination but is
fundamentally different from comprehensive diagnostic ultrasound examinations such as those ordered by
clinicians and performed in radiology departments with interpretation by radiologists,” according to ACR.
POC exams without formal training, adequate standards and documentation “can be detrimental to patient
care, including the risk of the patient receiving an incorrect diagnosis from an improperly performed sonographic examination,” the organization stated.
March 2015 | RSNA News 6
FEATURE
Business Analytics: the Next Big
Imaging Modality?
BY ELIZABETH GARDNER
While radiologists are used to analyzing massive amounts of imaging data to produce
a diagnosis, they often ignore the equally large amounts of data available to help
run their practices more effectively. But basic tools and analytic processes can help
physicians reap the business benefits of "big data," as well as to identify patterns that
can lead to more effective patient care, according to RSNA 2014 researchers.
“People need to use these tools to help identify where there
may be a bottleneck or a resource that isn't fully utilized or
is being over-utilized,” said Katherine Andriole, Ph.D., of the
Center for Evidence-Based Imaging at Brigham and Women's
Hospital, Boston, who moderated the session, "The Use of Business Analytics for Improving Radiology Operations, Quality, and
Clinical Performance,” held in association with the Society for
Imaging Informatics in Medicine.
A simple open-source tool that can take in data from multiple sources, such as a PACS, an electronic health record system
and imaging modalities, can be used to analyze metrics like
equipment utilization and radiation dose information, said Dr.
Andriole, who is a member of the RSNA Radiology Informatics
Committee (RIC).
But before that analytic step can happen, the data needs to be
integrated, or normalized, so that one set of data can be compared with another. The process, extract-transform-load (ETL),
has been thoroughly developed for years in other industries, but
has only been applied to healthcare relatively recently.
Something as simple as a date–expressed as 11/30/14 in one
system and 30.11.14 in another–can create gibberish rather than
usable information if the two sets of data aren't made consistent
with each other.
“The quality of the data is the piece that makes this a useful
process or not,” Dr. Andriole said. “If the data integrity is not
what it should be, the results won't be what you want.”
Key Performance Indicators Critical
Another challenge is figuring out exactly what needs to be measured, or what key performance indicators (KPI) should be. For
example, one practice looked at the number of exams performed
with each of its scanners. While one scanner was used for substantially fewer exams than the others, it turned out that scanner
was actually overbooked because its hours of operation were
shorter. Dr. Andriole recommended a more sophisticated KPI
that looked at each scanner's hours of use as a percentage of the
number of hours available.
Analytics Reveals "Invisible World of Patient Flow"
Presenter Paul Nagy, Ph.D., director of the Medical Technology
Innovation Center at Johns Hopkins University, recommended
that analytics programs be regarded as a new imaging modality—
one that reveals the previously invisible world of patient flow.
“The next big imaging modality won't be a PET/CT scanner,
but Big Data, and it's going to cost as much as other imaging
modalities if you do it right,” he said.
Even in the current environment, advanced analytics can pinpoint operational problems and help identify explanations and
7 RSNA News | March 2015
solutions. For example, an analytics
program can present a visual representation of how a CT scanner
is used during a single day. “If it
looks like a comb—if there's consistently too much space between
procedures—it identifies inefficient
scheduling,” such as new machine
that doesn't take as long to do
exams, Dr. Nagy said. “That's hard
to see if you're just looking at the
data, but the human brain is such a
Andriole
good detection system that if we
visualize the data, we can easily see
bizarre patterns.”
Any number of causes could create
gaps in the comb—no-show patients,
lack of demand for the scanner or
some other reason. Sometimes delays
from earlier in the day or elsewhere
in the organization can have ripple
effects. “You have to understand
the flow of the system and not punish physicians for a systemic delay,”
he said.
Nagy
Applications of analytics, including a program that tracks radiation
dose or physician follow-up on incidental findings, and a program that
helps residents track what studies
they've read and determine the accuracy of their readings, were discussed
by Tessa Cook, M.D., assistant professor of radiology at the University
of Pennsylvania Medical School, and
a member of the RIC and the RSNA
Medical Imaging Resource Center
(MIRC®) Subcommittee.
Cook
While dose information from
scanners isn't a perfect representation
of how much radiation a patient receives, it can serve as a proxy
to start reevaluating imaging protocols, Dr. Cook said.
The biggest challenge is standardizing the data. “Some of it
appears as pixels on an image, rather than as structured data,”
Dr. Cook said.
q
ELIZABETH GARDNER is a writer based in Chicago specializing in
medical technology and health IT issues.
FEATURE
Integrating Radiology, Pathology Would
Improve Diagnostics, Aid Patients
BY PAUL LATOUR
Integration between radiology and pathology would lead to an improved diagnostic
system that would benefit both caregivers and patients, according to presenters of the
RSNA 2014 special interest session, "Radiology and Pathology Diagnostics: Is it Time
to Integrate?"
The value proposition includes speedier and
more accurate diagnoses, better patient outcomes,
better management of diagnostic and therapeutic
resources, and lower costs, according to presenter
Mitchell D. Schnall, M.D., Ph.D.
“Diagnostics really drive the clinical care path
and the precision medicine agenda as we go forward,” said Dr. Schnall, the Eugene P. Pendergrass
professor and chair in the radiology department at
the University of Pennsylvania.
He added that current diagnostics exist in individual silos (radiology, lab, molecular diagnostics,
Schnall
histology, etc.) with no “grain elevator” working to
facilitate cooperation or sharing.
Pathologist Michael D. Feldman, M.D.,
Ph.D., said the disciplines need to develop a
Daily Bulletin
common culture, adding that one immediate
coverage of
opportunity exists in terms of lesion locaRSNA 2014
tion reference. The first step is establishing a
is available at
shared workflow and integrated information
RSNA.org/
systems, which means upgrading from the
bulletin.
antiquated paper requisition system most hospitals still use.
“It's a real boondoggle to get all the necessary data together for
anatomic pathologists with paper requisitions,” said Dr. Feldman,
an associate professor of pathology and laboratory medicine at
the Hospital of the University of Pennsylvania. “So there are
opportunities with an integrated workflow for standards in imaging, ordering and reporting spaces that could go a long way.”
To converge workflows, it is critical to decide what capabilities
can be supported for developing information technology and
informatics, according to Dr. Feldman.
Structured Reporting Template for
Prostate on the Horizon
During the panel discussion later in the session, Curtis P. Langlotz, M.D., Ph.D., said that it's unfortunate most institutions
don't already have a group interface between radiology and
pathology, but added that it's not an informatics issue.
“The reason it hasn't been done is more about the business
and resources being allocated for it,” said Dr. Langlotz, radiology
and biomedical informatics research professor at Stanford Uni-
Feldman
Langlotz
versity Medical Center and the Informatics Advisor for RSNA’s
Radlex® Steering Committee. "One of the headwinds we face is
trying to develop a mechanism to exchange templates.”
But one such mechanism is nearing fruition with prostate
reports, according to panelist Jeffrey C. Weinreb, M.D. He said
radiology is moving toward creating a standard template for
structured prostate reporting that will mirror what pathologists
have already implemented.
“This is an obvious area for radiology and pathology to work
together,” said Dr. Weinreb, a professor of diagnostic radiology at
the Yale School of Medicine.
Dr. Schnall said both radiology and pathology need to get
together in deciding issues such as defining a disease and how it
is measured. “We have to redefine some of these issues together
for them to be coherent,” Dr. Schnall said.
Despite the barriers that exist to full integration between
radiology and pathology, experts were optimistic it can be done.
The key is communication.
“You'll never get to a common culture unless you start sitting
down and talking about it,” Dr. Feldman said. "We're starting to
hear some of that now.”
The session was held jointly between RSNA and the American Society of Clinical Pathologists and followed up on a
two-day workshop held in 2014 at RSNA Headquarters in Oak
Brook, Ill.
q
PAUL LaTOUR is an RSNA News staff writer .
“One of the headwinds we face is trying to
develop a mechanism to exchange templates.”
CURTIS P. L ANGLOTZ, M.D., PH.D.
March 2015 | RSNA News 8
FEATURE
Pakistani Hospital’s “Attitude” Project
Improves Patient Service
BY FELICIA DECHTER
While staff in a busy multimodality radiology department is rightly focused on
providing the right diagnostic and interventional services, patients expect more than
that, according the presenter of an RSNA 2014 session.
“While patients come for 'care' solutions to their health
problems, there is no denying that what they observe daily and
usually assess and respond to in patient satisfaction surveys is
the 'caring' part. They focus on whether the
Daily Bulletin
communication was polite, the staff, nurses
coverage of
and doctors exhibited positive attitudes, their
RSNA 2014
needs were met timely and efficiently, and they
is available at
were handled well and with respect during their
RSNA.org/
hospital stay.” said Muhammad Akbar Khan,
bulletin
M.B.A., manager of radiology at Aga Khan
University Hospital (AKUH), a 650-bed philanthropic, not-forprofit, private teaching institution in Karachi, Pakistan.
“This makes service excellence, and hence the patient's experience, and satisfaction of utmost importance,” said Khan, who
presented a quality storyboard detailing AKUH's initiative to
improve the patient experience by focusing on service excellence within the radiology department. “The idea was to do a
measureable assessment of where we were in the eyes of those
12-to16- month period by using
a systematic approach to ensure
a “delightful patient experience.”
The approach included timely
guidance upon entry, complete
information with courteous communication, quick processing
of test formalities, positive and
welcoming staff, radiographers
and radiologists, and an easy-toapproach leadership for addressing
their concerns.
Khan
An analysis of patient satisfaction findings and patient complaints yielded expected behaviors from staff, including radiographers. Staff training sessions incorporated role modeling and
video records of actual interactions between patients and staff to
identify “do's” and “don'ts.” In addition, supervisors more frequently monitored interactions with patients,
and a “meet-and-greet service” was created to
welcome and guide patients. Special dinners,
breakfast gatherings and other events served
to keep staff motivated.
"Attitude" Goal Met
The hospital's interventions were implemented in early 2013. By December of that
year, the Attitude rating had improved from
64 to 82 percent.
While changing attitudes is a challenging
task, small and focused actions with continuous reinforcement help create desired
improvements, Khan said. “When the team
started exploring why our Attitude rating
was so low, the striking finding was that the
staff had an emotional disconnect within the
team,” he said. “There was some basis for
such feeling—lack of positive attitude within
Muhammad Akbar Khan, M.B.A., presented a quality storyboard at RSNA 2014 detailing
the team both when mistakes are used to
the initiative at Aga Khan University Hospital, Karachi, Pakistan, to improve the patient expereprimand staff without addressing the 'sysrience by focusing on service excellence within the radiology department. The goal was to
tem' part of the cause and when good work is
improve the four dimensions of service excellence: communication, attitude, responsiveness,
ignored without praise.
respect and caring, outlined in the diagram above.
“With deliberate efforts to ensure that miswhom we serve and then act upon the assessment to improve the takes are used as learning opportunities and good work is pubfour dimensions of service excellence: communication, attitude,
licly praised, we saw the most remarkable change in the Attitude
responsiveness, respect and caring,” Khan said. Those modes of
rating,” Khan continued. “You plant wheat to get wheat ... you
behavior are as important as patients' healthcare needs, he added. give service excellence to get service excellence.”
While the baseline assessment identified improvement opportunity in all four categories, the Attitude rating in the radiology
FELICIA DECHTER is a Chicago-based freelance
department was estimated at 64 percent. The hospital set a goal
writer specializing in medical technology and health IT.
to bolster the Attitude rating to at least 80 percent within a
q
9 RSNA News | March 2015
FEATURE
Entering Misleading Information to
"Get Scans Faster" Puts Patients at Risk
BY EVONNE ACEVEDO JOHNSON
Research conducted in Ireland indicated that up to 45 percent of
electronic radiology requests contained incorrect or misleading
information about patients' biochemical or hematological status.
“The high level of erroneous clinical and laboratory information is concerning,” said RSNA 2014
presenter Maria Twomey, M.B.Ch.B., a fellow of
the Royal College of Surgeons in Ireland. “The
primary concern is the effect this can and does have
on how the radiologist protocols, prioritizes the
study and reports the study.”
Dr. Twomey said she and her team saw the need
for a formal study when they heard anecdotal evidence of incorrect clinical information on requests.
“There was some suspicion that colleagues were
entering erroneous information to get scans faster,”
she said.
The study was performed at Cork University
Hospital, a large tertiary referral hospital that
receives requests via an electronic radiology information system. Information submitted by the
referring physician was compared to the reported
levels on their own institution's biochemical and
hematology reporting system.
Of the 250 requests included in the study,
researchers found that up to 45 percent contained
erroneous information about creatinine, hemoglobin, white cell count and C-reactive protein levels.
Fifteen percent of requests for CT pulmonary
angiography, for example, reported an abnormal
D-dimer result when the actual reported result was
normal. Twenty-five percent had reported hypoxia
when the lab-reported blood oxygen level was
normal. Elevated C-reactive protein and/or white
blood cell count was reported in 70 percent of
acute abdominopelvic CT requests, but 20 percent
of the formal results in that subgroup were normal.
“Significantly higher incidences of erroneous
parameters were supplied by medical physician
referrals than by surgeons,” Dr. Twomey said.
Study Request Errors Can Lead to
Misinterpretation of Results
Errors in an imaging request can result in selecting
an inappropriate imaging procedure, Dr. Twomey
said. “It may lead to the incorrect modality or
study protocol being performed or inappropriate
radiation dose. It could cause a delay in other
patients being scanned and may lead to misinterpretation of radiological findings.
“Ideally, all biochemical and hematological
results would be checked with the laboratory system,” she said. Acknowledging that this could be
laborious, Dr. Twomey's team instead recommends
Twomey
“The high level of erroneous
clinical and laboratory
information is concerning.”
MARIA T WOMEY, M.B.CH.B.
the implementation of an electronic ordering
system linked directly to patients' laboratory
reports and, ideally, the electronic patient chart.
“The software exists and is in use, but it is not
available in our and many other institutions," Dr.
Twomey said. “Budgetary constraints are prevalent throughout radiology; however, these findings
would support capital input into
Daily Bulletin
this software.”
coverage of
Accurate clinical information
RSNA 2014
is essential for radiologists to
is available at
make informed judgments on
RSNA.org/
patient exposure to radiation,
bulletin
Dr. Twomey emphasized.
“Hopefully a software system connected to the
lab results would make our colleagues think twice
when they make that request,” she said. “Solutions based on data are the most effective. Don't
do a D-dimer if you're going to ignore
the results.”
q
EVONNE ACEVEDO JOHNSON is a Goliad,
Texas-based freelance writer specializing in
healthcare issues.
March 2015 | RSNA News 10
FEATURE
Imaging Shift to Hospital Outpatient
Facilities Concerns Radiologists
BY RICHARD S. DARGAN
Outpatient advanced imaging is shifting from private imaging centers to higher-cost
hospital facilities, according to a new study, raising concerns about reduced access for
patients and increased costs to payers.
In the study, first presented at RSNA 2014,
researchers from Thomas Jefferson University in
Philadelphia analyzed Medicare data from 2000 to
2012 and determined procedure utilization rates
per 1,000 beneficiaries for each year.
Total utilization rates for advanced imaging
in private offices rose 111 percent from 2000 to
2008, and then declined for three straight years—a
drop attributed to code bundling in echocardiography, nuclear cardiac exams and CT of the abdomen/pelvis. Despite no further code bundling, the
decline continued in 2012, while the hospital
outpatient rate increased from 418 to 426 per
1,000 beneficiaries.
“Since 2011, there have been small increases in
utilization rates in hospitals even as private offices
continue to decline,” said presenter and study
author Bhavik Patel, M.D., a third-year resident at
Thomas Jefferson University.
The ratio of private office to hospital outpatient
advanced imaging fell from 1.67 in 2008 to 1.11 in
2012. The shift was most apparent in MRI, echocardiography and nuclear medicine, and to a lesser
degree in ultrasound and CT.
“Medicare has been dropping reimbursement
for mostly the technical component and to a lesser
extent the professional component of advanced
imaging,” said David C. Levin, M.D., professor
and chairman emeritus of the radiology department
at Thomas Jefferson University Hospital. “As they
drop reimbursements, we’re seeing private offices
begin to close, so the work is shifting to hospitals.”
The shift appears to be an unintended consequence of measures taken by the Centers for
Medicare and Medicaid Services (CMS) to reduce
healthcare costs by attempting to slow the rate of
imaging growth, according to the researchers.
A 2009 study by Dr. Levin and his Thomas Jefferson University colleague Vijay M. Rao, M.D.,
found that while total outpatient imaging rates
increased by 45 percent from 1996 through
2006, the hospitals’ share of the market dropped
as more and more patients opted for the convenience and atmosphere of private centers.
The growth in private centers positioned the
facilities as prime targets for cuts, even though
the actual source of much of the growth was a
loophole in the Stark Law that allowed physicians
to refer patients to imaging equipment that they
owned. The Stark Law governs physician self-referral for Medicare and Medicaid patients.
“Physicians who own their own equipment
used imaging at five to seven times the rate
of physicians who did not own their own equipment and referred patients to others,” said Dr.
Rao, RSNA Board Liaison for Information Technology and Annual Meeting. “Because of rising
costs, CMS cut reimbursement per unit rather
than addressing self-referral, and the upshot of
all this is that reimbursement has been slashed
for offices.”
The Deficit Reduction Act of 2005, which
went into effect in January 2007, sowed the seeds
for this recent shift by cutting reimbursements for
Medicare private office outpatient imaging so that
it was on par with hospital reimbursement. “Outpatient centers took a lot of the hit through
things like code bundling and the utilization factor, and now we’re seeing the consequences,” Dr.
Rao said.
Imaging Shift Impacts Patients
The consequences for imaging centers, in the
form of closures, layoffs and postponed plans
for equipment acquisition, are already affecting patient access, according to the researchers.
“Reimbursements have been slashed so substantially that the technical revenues barely cover
operating costs, so many private offices have been
closing their doors,” Dr. Rao said. “More and
Patel
Levin
Rao
“More and more patients are going to hospitals for advanced
imaging, which ultimately will cost the payers more money
because the rate of reimbursement is higher at hospitals.”
VIJAY M. RAO, M.D.
11 RSNA News | March 2015
The shift in advanced
imaging from private
imaging centers to
hospitals is already affecting patient access,
experts say. "Reimbursements have been
slashed so substantially that the technical
revenues barely cover
operating costs, so
many private offices
have been closing their
doors," said Vijay M.
Rao, M.D.
more patients are going to hospitals for advanced imaging, which
ultima tely will cost the payers more money because the rate of
reimbursement is higher at hospitals.”
Additionally, groups at imaging centers may struggle to
upgrade or get new equipment, which could affect image quality
and interpretation, Dr. Rao said. And patients who have opted
for insurance plans with higher deductibles may put off getting
necessary tests in order to save money.
“The goal of these cuts is to reduce costs, but if the hospital
is paid more for patient services, then the costs may actually go
up,” Dr. Patel said. He likened the shift in advanced imaging to
what occurred in cardiology in recent years after reimbursements
for echocardiography and myocardial perfusion were cut.
“The literature suggests that many cardiology offices closed or
were bought out by hospitals,” he said. “Radiology is susceptible
to the same macroeconomic forces.”
Research Monitors Utilization Rates
The Thomas Jefferson University team expressed hope that their
data would help make CMS and private insurers more aware of
the importance of keeping imaging centers financially solvent.
“The Medicare program needs to stop cutting reimbursement
for private imaging and equalize payments to hospital outpatient
departments and private offices,” Dr. Levin said. “CMS is already
talking about it, but it’s hard to make any changes because the
hospital lobby will fight them.”
In the meantime, the researchers said they will continue to
monitor the annual utilization rates, although they do not expect
the shift in outpatient advanced imaging utilization to change
anytime soon. “We have more work to do, particularly in studying the impact of reimbursement cuts on CT, but we’ve painted
a picture of the link between cuts and shift in imaging, and it’s
not unreasonable to think trends will continue,” Dr. Patel said.
“I don’t see anything right now that will reverse the trend,
but I’m hoping that this research will bring attention to the fact
that it’s not advantageous to continue on this track,”
Dr. Rao added.
q
RICHARD S. DARGAN is a writer based in Albuquerque, N.M.,
specializing in healthcare issues.
New CMS Data Collection Process Helps Analyze Imaging Shift
Effective January 1, 2015, CMS is using a new modifier to collect data on the shift in advanced imaging toward hospital-based physician practices. Reporting of the two-digit “PO” modifier “Services,
procedures and/or surgeries furnished at off-campus provider-based outpatient departments” will be
voluntary for one year before being required beginning on January 1, 2016.
CMS hopes to use the data collection to gain a better understanding of which practice expense costs
typically are incurred by physician-owned imaging centers, which are incurred by the hospital, and
whether there is a significant difference in resource costs given the differences in ownership arrangements. The move comes after the Medicare Payment Advisory Commission’s (MedPAC) comments
that CMS should set hospital outpatient payment rates at the same rate as physician offices when the
office rates are the lowest.
March 2015 | RSNA News 12
FEATURE
Future of 3-D Printing is Bright, but
Cost Remains an Obstacle
BY PAUL LATOUR
With advanced imaging as the cornerstone, the future of 3-D printing is bursting
with possibilities for all of healthcare and holds the potential to completely reshape
medicine. But barriers—primarily training opportunities and cost—prevent the
technology from becoming widely implemented in everyday practice anytime soon.
Already 3-d printing is providing remarkable results in
planning complex interventions in the heart, the spine and for a
growing list of other procedures. At RSNA 2014, a research team
led by Frank J. Rybicki, M.D., Ph.D., former director of the
Applied Imaging Science Lab at Brigham and Women’s Hospital
(BWH) in Boston, and incoming chair and professor at the University of Ottawa, Canada, demonstrated how they utilized CT
and 3-D printing to recreate life-size models of patients’ skulls
and soft tissues to assist in face transplantation surgery.
In 2011, Dr. Rybicki, working with the BWH surgical team
led by Bohdan Pomahac, M.D., performed the first successful
full-face transplantation in the U.S. and the team has since completed four more full-face procedures in addition to other partical
face transplants. Dr.
Rybicki explained that
visualization was the
“3-D printing impacts 3-D
precursor to 3-D printing
and took place in 3-D
far more routine
labs. The underlying idea
was that DICOM (Digisurgeries than face
tal Imaging and Commutransplantation, and
nications in Medicine)
data sets contained more
it is here to stay.
useful information than
FRANK RYBICKI, M.D. PH.D. was being extracted
via axial images alone,
or even the rendering of a 3-D volume on a 2-D monitor (the
essence of 3-D visualization). The availability of 3-D printing
was the next logical step in technology and application to patient
care, Dr. Rybicki said.
“There are strong parallels between 3-D printing today and
early 3-D labs,” Dr. Rybicki said. “Even more information can be
obtained in DICOM images via a printed model in your hands,
and this has borne out in many fields.
“3-D printing impacts far more routine surgeries than face
transplantation, and it is here to stay,” Dr. Rybicki added.
”
3D Printing Aids Heart, Spine Surgeons
Advancements in other areas support Dr. Rybicki’s statement.
The benefits of using 3-D printing to create a 3-D model of the
heart were a major point of emphasis at the EuroEcho-Imaging
ON THE COVER
Video footage showing animation of
facial transplant surgery on a 3-D
printed model of a male patient.
13 RSNA News | March 2015
2014 annual meeting of the European
Association of Cardiovascular Imaging
(EACVI) last summer.
Specifically, in fall 2014, a 3-D
heart model helped surgeons at Morgan Stanley Children’s Hospital in
New York repair a congenital heart
defect in a 2-week-old baby. “With
the advent of 3-D imaging, now we
can clearly evaluate the structure of
the heart in different planes,” said
Rybicki
Patrizio Lancellotti, M.D., Ph.D.,
EACVI president, in a written statement. “With this novel technology we
will gain insights into the interactions
between the valves and the ventricles,
the valves and the aorta, and the
valves and the left atrium.”
3-D printing itself depends on the
advanced imaging modalities and
protocols to generate source DICOM
images amenable for printing. “For
certain applications such as cardiac
Hibbeln
congenital anomalies, advanced MR
protocols have proven invaluable
to generate 3-D printed models," Dr. Rybicki said. "For other
applications, particularly when bony structures are printed, thin
section CT images will suffice.”
In another breakthrough procedure in 2014, 3-D printing was
used in complex spinal cord surgery. Doctors from the Peking
University Third Hospital in Beijing successfully replaced a
section of cancerous vertebra in a 12-year-old boy’s neck with a
piece created on a 3-D printer.
3-D printing was also successfully used in at least five other
life-changing surgeries during 2014, including replacing an
upper jaw, forming a new skull, spinal-fusion surgery, and heel
and hip implants.
Training, Cost, Barriers to Widespread Use
Despite these successes, the high cost of 3-D printing hampers its
implementation into everyday practice. According to an article in
Crain’s Chicago Business, high-resolution printers cost anywhere
from $40,000 up to $1 million.
Other factors also run up the costs. For instance, implementing a 3-D printing laboratory is expensive, not only because the
hardware and software are costly, but also because the work is
very time- and labor-intensive. Funding sources, including federal resources, have become increasingly scarce, which make the
funding environment extremely competitive.
Image courtesy of Shi-Joon Yoo, M.D., Ph.,D., the Hospital for Sick Children (SickKids).
Image courtesy of John F. Hibbeln, M.D., Rush University Medical Center.
3-D printing is already transforming healthcare in many revolutionary ways. Top, from left: 3-D printing has vast potential
as an educational tool, said John F. Hibbeln, M.D., (left), reviewing a 3-D image of a percutaneous aortic valve replacement
with fourth-year resident Michael Ralls at Rush University Medical Center, Chicago; right: a 3-D printed facial model created
by RSNA 2014 researcher Frank J. Rybicki, M.D., Ph.D., and colleagues who used CT and 3-D printing technology to recreate
life-size models of patients heads to assist in face transplantation surgery; bottom: A cast model (left panel), a wall model
of the interior of the right ventricle (middle) and a wall model of the base of the heart (right) showing a double outlet right
ventricle with a ventricular septal defect (VSD) in subpulmonary location, interrupted aortic arch and a large patent ductus
arteriosus. (VIF=ventriculoinfundibular fold).
In terms of software and hardware, expenses to implement
a 3-D printing laboratory, funding has become increasingly
difficult as federal resources have decreased, making the process
extremely competitive. “Applying for funding used to be a fairly
quick process, but now it’s becoming ever more prolonged,”
said John F. Hibbeln, M.D., who operates the 3-D printing lab
at Rush University Medical Center in Chicago. “In the era of
increasing restraint on medical costs, how does this fit in? The
real issue is money and who’s going to pay for it.”
Dr. Hibbeln said his institution uses an independent contractor for their 3-D printing rather than buying the equipment.
But he believes costs will begin decreasing soon as more companies become involved.
“The price of printing will come down. The number of
printers out there is increasing. The utility is increasing. The
software is improving. And the prices are dropping with all
computers, so I anticipate the overall price will drop,” Dr. Hibbeln said.
Because he works at a teaching hospital, Dr. Hibbeln sees
the greatest potential for 3-D printing in areas of education,
training and research. He added one other oft-overlooked
potential benefit:
“We teach medical students, residents, fellows and junior
physicians, but we are also here to teach patients,” he said.
“This is another part of the teaching mission that is underestimated. How do patients understand what is going on?"
A 3-D printed model can be extremely effective for physicians seeking informed consent for patients and their families.
“When the patient actually holds his actual abnormal anatomy,
or the parents hold that anatomy of their child in their hands,
they can truly understand the problem and what the physician
intends to do to correct the abnormality,” Dr. Rybicki said.
“3-D printing has tremendous potential. Like so much else
in the world, the only constraints are money and inventiveness,” Dr. Hibbeln added.
q
PAUL LaTOUR is an RSNA News staff writer.
WEB EXTRAS
Go to RSNA.org/News to view a series of videos
related to Dr. Rybicki’s RSNA 2014 research on 3-D
printing including footage of the animated face
transplant process on a male and female patient, a
close-up of facial tissue, veins and blood cells
during face-transplant surgery, and a doctor-patient
consultation before the procedure. RSNA News
online also features an RSNA 2014 interview with
Dr. Rybicki explaining the 3-D printing process, as
well as video footage of Dr. Rybicki’s RSNA 2014
press conference on his research.
March 2015 | RSNA News 14
RADIOLOGY’S FUTURE
The RSNA Research & Education Foundation thanks the following donors for gifts made
November 12, 2014 through December 17, 2014.
Centennial Pathfinders
Individuals who have made a commitment of $25,000 or more to the
Campaign between November 12, 2014 and December 17, 2014.
SILVER CENTENNIAL PATHFINDERS ($25,000)
Helen & Paul J. Chang, M.D.
Stamatia V. Destounis, M.D., F.A.C.R. & Manuel Matos, M.D.
Louise & Richard G. Lester, M.D.
$300 - $499
Visionary Donors
The following individuals are recognized for cumulative
lifetime donations.
PLATINUM VISIONARY ($25,000)
BRONZE VISIONARY ($5,000)
Carmen M. Bonmati, M.D. &
Benjamin N. Conner, M.D.
Gayle M. & Harry R. Cramer Jr., M.D.
Kelly V. Mayson &
Bruce B. Forster, M.D.
Ajax E. George, M.D.
Maged F. Khalil, M.D.
Ann M. Lewicki, M.D.
Lori W. & Cristopher A. Meyer, M.D.
Betsy & Carlton C. Sexton, M.D.
Dale G. Sickles, M.D. &
Edward A. Sickles, M.D.
GOLD VISIONARY ($15,000)
Martha & Carlos Bazan III, M.D.
Lyne Noel de Tilly, M.D. & Edward E.
Kassel, M.D.
Trish & John A. Patti, M.D.
SILVER VISIONARY ($10,000)
Catherine J. Brandon, M.D.
Craig P. Thiessen, M.D.
Linda J. Warren, M.D.
Sally & James E. Youker, M.D.
Individual Donors
Donors who give $1,500 or more per year qualify for the RSNA
Presidents Circle. Their names are shown in bold face.
$10,000 or more
Barbara & Jerry P. Petasnick, M.D.
$5,000 – $9,999
Margaret S. Houston, M.D. &
Richard L. Ehman, M.D.
Gittelle & Richard H. Gold, M.D.
Mary & Allen F. Turcke, M.D.
$2,500 – $4,999
Teresita L. Angtuaco, M.D., F.A.C.R. &
Edgardo J. Angtuaco, M.D., F.A.C.R.
Carmen M. Bonmati, M.D. &
Benjamin N. Conner, M.D.
Martha & James Borgstede, M.D.
$1,500 – $2,499
Anonymous
Leslie & Bibb Allen Jr., M.D.
Martha & Carlos Bazan III, M.D.
Luther W. Brady, M.D.
Lisa & Jonathan Breslau, M.D.
Liane &
Marcel A. Clemente, M.D., M.B.A.
Michael J. Cooney, M.D.
Kelly V. Mayson &
Bruce B. Forster, M.D.
Milton J. Guiberteau, M.D.
Lyne Noel de Tilly, M.D. &
Edward E. Kassel, M.D.
Lilian Leong, M.D. & C.H. Leong, M.D.
Kathryn A. Morton, M.D.
In honor of David G. Bragg, M.D.
Trish & John A. Patti, M.D.
15 RSNA News | March 2015
Donna B. & Lee F. Rogers, M.D.
Eva Rubin, M.D.
Craig P. Russo, M.D.
Dr. Alvin Lee &
Carol Sue Schlichtemeier
William A. Shipley, M.D.
Samuel N. Smiley, M.D.
Adele Swenson
Malgorzata Szczerbo-Trojanowska, M.D.
& Tomasz Trojanowski
Sally & James E. Youker, M.D.
Drs. Carol & Barry Rumack
Frank J. Rybicki III, M.D., Ph.D.
S. Dershi Saxena, M.D. &
V. Amod Saxena, M.D.
Dr. and Mrs. Peter M. Som
Craig P. Thiessen, M.D.
Phyllis Tuddenham
In memory of William J. Tuddenham, M.D.
Linda J. Warren, M.D.
Barbara N. Weissman, M.D. &
Irving Weissman, M.D.
Patricia & Eric M. Wilner, M.D.
$500 – $1,499
Donita & John E. Aruny, M.D.
Margaret S. & Dennis M. Balfe, M.D.
Catherine J. Brandon, M.D.
Carlos F. De Pierris, M.D.
Ella A. Kazerooni, M.D. &
Charles L. Nino, M.D.
Bhupinder Khurana, M.D.
Donald L. Klippenstein, M.D.
Joe C. Leonard, M.D.
In honor of Bob G. Eaton, M.D.
Ann M. Lewicki, M.D.
Carolyn C. Meltzer, M.D. &
Kenneth Meltzer
Lori W. & Cristopher A. Meyer, M.D.
Susan I. Wendel, M.D. &
Peter R. Mueller, M.D.
Paul D. Radecki, M.D.
John W. Renner, M.D.
Asif Abdullah, M.D.
Ronald C. Ablow, M.D.
Omer M. Aker, M.D.
Albert J. Alter, M.D., Ph.D.
Marco A. Alvarez, M.D.
Charles M. Anderson, M.D., Ph.D.
Wallace M. Anderson, M.D.
Carol L. Andrews, M.D.
Kimberly A. Apker, M.D.
Mohammad Athar, M.D.
Paul N. Backas, M.D.
Richard T. Baker III, M.D.
Norbertina L. Banson, M.D.
Patricia A. Barry-Lane, M.D., Ph.D.
Peter B. Baumgartel, M.D.
Deborah A. Baumgarten, M.D., M.P.H.
Ajit Belliappa, M.D.
Michael J. Benanti, D.O.
Geoffrey T. Benness, M.D.
Ericha R. Benshoff, M.D.
Thomas H. Berquist, M.D.
Anthony G. Bledin, M.D.
Edith Bleus, M.D.
Maximo V. Bleza, D.O.
Claudio L. Bonfioli, M.D.
Armando L. Bonnet, M.D.
Camilo G. Borrero, M.D.
Richard R. Boyle Jr., M.D.
Bruce H. Braffman, M.D.
Steven H. Brick, M.D.
Benjamin K. Brooks, M.D.
James Brull, D.V.M., D.O.
Matthew W. Burke, M.D.
Elizabeth S. Burnside, M.D., M.P.H.
Clive C. Butcher, M.B.B.S., F.R.C.R.
Alfredo E. Buzzi, M.D.
Darren L. Cain, M.D.
Lawrence C. Calabrese, M.D.
Ruth C. Carlos, M.D., M.S.
Lynn N. Carlton, M.D.
Edward P. Carter, M.D.
John A. Cassese, M.D.
Regina B. Cesar, Dipl. Phys.
Ai-Lee Chang, M.D.
Taylor P. Chen, M.D.
Mary M. Chiavaras, M.D., Ph.D.
Christopher J. Chicoskie, M.D.
Chamaree Chuapetcharasopon, M.D.
Martin I. Cohen, M.D.
Patricia E. Cole, M.D., Ph.D.
Martin Colman, M.D.
Angel R. Colon, M.D.
Harry R. Cramer Jr., M.D.
John J. Cronan, M.D.
Paul P. Cronin, M.D., M.S.
Charles A. Crouch, M.D.
Hugh D. Curtin, M.D.
Adriano F. Da Silva, M.D.
Jess J. Dalehite, M.D.
Elizabeth K. Dee, M.D.
Lori A. Deitte, M.D.
Cesar Del Rio, M.D.
Wendy B. DeMartini, M.D.
Kenneth G. Dennison, M.D.
Jon J. DeWitte, M.D.
Jamie L. DiFiori, M.D.
James E. Dix, M.D.
Adrian K. Dixon, M.D.
Robert G. Dixon, M.D.
Richard L. Dobben, M.D.
Kei Doi, M.D., Ph.D.
David L. Donaldson, M.D.
Seshagirirao Donthamsetti, M.D.
N. Carol Dornbluth, M.D.
Annette C. Douglas, M.D.
Hugh H. Eaglesham, M.D.
William P. Edenfield Jr., M.D.
Ingeborg & Svein-Dag Eggesbo, M.D.
Edward A. Eikman, M.D.
Robert Einhorn, M.D.
Simone P. Elvey, M.D.
Ayman Elzarka, M.D.
Erwin H. Engert Jr., M.D.
Malik Englmaier, M.D.
W. Scott Enochs, M.D., Ph.D.
Dana B. Fathy, M.D.
David H. Feiglin, M.D.
Edrick J. Ferguson, M.D.
Donald J. Flemming, M.D.
James D. Fraser, M.D.
Joan K. Frisoli, M.D., Ph.D.
Paul J. Fry, M.D.
Hidemi Furusawa, M.D.
Thomas E. Gallant, M.D.
Connie J. Gapinski, M.D., Ph.D.
Soledad Garrido, M.D.
Ajax E. George, M.D.
Maryellen L. Giger, Ph.D.
Karl A. Glastad, M.D.
Josef K. Gmeinwieser, M.D.
Stacy K. Goergen, M.B.B.S.
Barry B. Goldberg, M.D.
Monte E. Golditch, M.D.
Robert A. Goren, M.D.
Valerie T. Greco-Hunt, M.D.
Stephen M. Greenberg, M.D.
Larry D. Greenfield, M.D.
Bennett S. Greenspan, M.D., M.S.
Thomas M. Grist, M.D.
Ashley M. Groves, M.B.B.S.
Sean D. Gussick, M.D.
Sudhir B. Guthikonda, M.D.
Richard A. Haas, M.D.
Antoine Haddad, M.D.
Touma Hanna, M.D.
Robert C. Hannon, M.D.
Gamal W. Haroun, M.D.
Scott A. Hayden, M.D.
Harvey L. Hecht, M.D.
Charles M. Hecht-Leavitt, M.D.
Christian J. Herold, M.D.
Samuel C. Hill IV, M.D.
Virginia B. Hill, M.D.
Mary G. Hochman, M.D.
Herma C. Holscher, M.D., Ph.D.
Stephanie P. Holz, M.D.
Eric R. Hoyer, M.D.
Mary Hu, M.D., M.S.
Steven M. Huang, M.D.
Gerard Hurley, M.D.
Hero K. Hussain, M.D.
Eric A. Hyson, M.D.
Yutaka Imai, M.D.
Joseph H. Jackson Jr., M.D.
Socrates C. Jamoulis, M.D.
Sharmishtha Jayachandran, M.D.
Bonnie N. Joe, M.D., Ph.D.
Bradley A. Johnson, M.D.
William H. Johnstone, M.D.
Mark A. Jones, M.D.
Shellie C. Josephs, M.D.
Aron M. Judkiewicz, M.D.
Joseph D. Kalowsky, D.O.
John P. Karis, M.D.
Georg A. Katz, M.D.
Aine M. Kelly, M.D.
Kevin M. Kelly, M.D.
Michael J. Kelly, M.B.B.Ch.
Mary T. Keogan, M.D.
William D. Ketcham II, M.D.
John A. Khademi, D.D.S., M.S.
Maged F. Khalil, M.D.
Carl I. Kim, M.D., M.S.
Sheldon A. Kleiman, M.D.
Edmond A. Knopp, M.D.
S. D. Koh, M.D.
Srinivas Kolla, M.D.
Beth D. Kruse, M.D.
Richard T. Kubota, M.D.
Thaddeus A. Laird, M.D., M.B.A.
Drew T. Lambert, M.D.
Shana M. Landau, M.D.
Charles Lawrence, M.D.
David S. Leder, M.D.
Justin C. Lee, M.B.B.S., F.R.C.R.
Keith D. Lemay, M.D., F.R.C.P.C.
Kevin J. Leonard, M.D.
Paolo P. Lim, M.D.
Tae-Hwan Lim, M.D., Ph.D.
Daniel P. Link, M.D.
Gregory D. Linkowski, M.D.
Pei-i Liu, M.D.
Mark E. Lockhart, M.D.
Harold E. Longmaid III, M.D.
Jesus A. Loza, M.D.
Charles R. Luttenton, M.D.
Mary Mackiernan, M.D.
David E. Magarik, M.D.
David T. Mai, M.D.
David S. Martin, M.D.
Sandra B. Martin, M.D.
Donald R. Massee, M.D.
Nina A. Mayr, M.D.
Michael W. McCrary, M.D.
Warren L. McFarland, M.D.
Robert H. McKay, M.D.
Ernest J. McKenzie, M.D.
John R. McMahan III, M.D.
Stephen B. Meisel, M.D.
Maria-Gisela Mercado-Deane, M.D.
Eileen Jose M. Mercado-Yap, M.D.
Gary L. Merhar, M.D.
Andrea E. Miller, M.D.
Mitchell A. Miller, M.D.
Laurent Milot, M.D., M.Sc.
Ari D. Mintz, M.D.
David A. Moeller, M.D.
Brian J. Moffit, M.D.
David E. Moody, M.D.
Naoko Mori, M.D., Ph.D.
Padraig P. Morris, M.B.B.Ch.
R. Laurence Moss, M.D.
Jose Eduardo Mourao
Santos, M.D., Ph.D.
Charles H. Muncrief Jr., D.O.
James F. Murphy, M.D.
Adam P. Myhre, M.D.
Linda A. Nall, M.D.
Giuseppe Napolitano, M.D.
William M. Nelson, M.B.B.Ch.
Geraldine M. Newmark, M.D.
YOUR DONATIONS IN ACTION
The Simplest Method for Determining Breast Density
Kelly Michaelsen, Ph.D.
Knowing that women with dense breasts have
a greater incidence and mortality from breast
cancer, Kelly Michaelsen, Ph.D., will compare
images taken from optical and X-ray modalities
to find the simplest method for assessing breast
density. Dr. MIchaelsen’s research aims to
improve understanding of the in vivo metabolic
activity of dense and fatty tissue, and determine
the feasibility of a simple, fast and inexpensive
hand held optical scan for determination of
breast density in young women at high risk for
breast cancer.
Elsie Nguyen, M.D.
Susan M. Nichols-Hostetter, M.D.
Barbara A. Nitsch, M.D.
Maura L. Noordhoorn, M.D.
Robert B. Nordstrom, M.D.
Celestino Oliveira, M.D.
Walter L. Olsen, M.D.
Dana O. Olson, M.D.
Erik M. Olson, M.D.
Joseph P. O'Sullivan, M.D.
Mario P. Padron, M.D.
Robert L. Pakter, M.D.
Harold S. Parnes, M.D.
Devayani M. Patel, M.D.
Zivojin Pavlovic, M.D.
John P. Pedersen, M.B.B.S.
Philipp L. Peloschek, M.D., Ph.D.
William F. Pfisterer, M.D., D.D.S.
In memory of William H. Pfisterer, M.D.
Robert L. Philips, M.D.
C. Douglas Phillips, M.D.
Mark A. Phillips, M.B.B.Ch., F.R.C.R.
Marvin Platt, M.D.
Sidney D. Pollack, M.D.
Sarah G. Pope, M.D.
Kent W. Powley, M.D.
Barry D. Pressman, M.D.
Grant J. Price, M.D.
Le-Ping Pu, M.D., Ph.D.
Thomas C. Puckette, M.D.
Adnan A. Qalbani, M.D.
Steven B. Quin, M.D.
Patricia A. Randall, M.D.
In honor of E. Robert Heitzman, M.D.
Molly E. Raske, M.D.
Stefan T. Rau, M.D.
Rajaram E. Reddy, M.D.
Peter Reimer, M.D.
John T. Renz, M.D.
Michael A. Ringold, M.D.
Carlos R. Riquelme, M.D.
Steven A. Roat, M.D.
Ronald P. Robinson, M.D.
Kevin J. Roche, M.D.
Paul B. Rolen, M.D., M.S.
Melissa L. Rosado de Christenson, M.D.
Eva Rubin, M.D.
Ernst J. Rummeny, M.D.
In memory of Peter E. Peters, M.D.
Carrie B. Ruzal-Shapiro, M.D.
Matthew Saady
Stephen W. Sabo, D.O.
Hajime Sakuma, M.D.
Lisa M. Scales, M.D.
James F. Schmutz, M.D.
Neil F. Schneider, M.D.
Mark E. Schweitzer, M.D.
Jonathan Seeff, M.D.
M. C. Semine, M.D.
Charlene A. Sennett, M.D.
Carlton C. Sexton, M.D.
Rajshri N. Shah, M.D.
Vandana Shah, M.D.
Joshua S. Shimony, M.D., Ph.D.
Edward A. Sickles, M.D.
Sudha P. Singh, M.B.B.S., M.D.
Sung-Ho Song, M.D.
Swithin J. Song, M.B.B.S.
Lynne S. Steinbach, M.D.
In memory of Louis A. Gilula, M.D.
Alan H. Stolpen, M.D., Ph.D.
Timothy L. Stoner, M.D.
Miguel E. Stoopen, M.D.
Daniel M. Stovell, M.D.
Eric S. Stram, M.D.
Ana M. Suarez, M.D.
Charles S. Sutton, M.D.
Leonard E. Swischuk, M.D.
Sophia C. Symko, M.D.
John P. Tampas, M.D.
In honor of Nancy &
Robert E. Campbell, M.D.
Soledad Te, M.D.
James S. Teal, M.D.
Clare M. Tempany-Afdhal, M.D.
Mark J. Tenenzapf, M.D.
Thomas R. Thompson, M.D.
Richard B. Thropp, M.D.
Ian D. Timms, M.D.
Joseph B. Tison, M.D.
Ina L. Tonkin, M.D.
Maria Das Gracas M. Torres, M.D.
Kris J. Van Lom, M.D.
Francois R. van Mieghem, M.D.
Piet K. Vanhoenacker, M.D.
Cristian Varela, M.D.
Rudolph W. Varesko, M.D.
Kuldeep K. Vaswani, M.D., Ph.D.
Juan D. Vielma, M.D.
Roberto L. Villavicencio, M.D.
Gustav K. Von Schulthess, M.D., Ph.D.
James W. Weaver, M.D.
Ralph C. Weichselbaum, D.V.M., Ph.D.
Richard I. Welshman, M.B.B.S.
Harold A. White, M.D.
Winston S. Whitney, M.D.
J. Scott Williams, M.D., Ph.D.
John W. Wittenborn, M.D.
Myron M. Wojtowycz, M.D.
James H. Wolfe, M.D.
Paul W. Wong, M.D.
Beverly P. Wood, M.D., Ph.D.
Christopher P. Wood, M.D.
John W. Wright, M.D.
David W. Wu, M.D.
Edward L. Yang, M.D.
Stanley Yang, M.D.
Terry D. Yeager, M.D.
Andrej J. Zajac, M.D.
$299 or Less
Mubarak Z. Abdullahi, M.B.B.S.
Maria Abouseif
Mitchell D. Achee, M.D.
Dan Achtor
Peter Adany, Ph.D.
Prasad Adhikarath Valappil
Vitria Adisetiyo, Ph.D., M.S.
Harry Agress Jr., M.D.
Paula Aguilera, M.D.
Raj Ahuja
Sakina A. Akoob, M.B.Ch.B.
Omran S. Al Dandan, M.B.B.S.
Ahmad Al-Basheer, Ph.D.
Tim L. Alder, M.D.
Gregory J. Allen, M.D.
Marc J. Alonzo, M.D.
Ulrich Amendy, F.R.C.R.
Urs J. Amsler, M.D.
Ismail M. Anadani, M.B.B.Ch., M.D.
Chris Anderson
David R. Anderson, M.D.
Susan Anderson
Shigeki Aoki, M.D., Ph.D.
Noah B. Appel, M.D.
David A. Araujo Jr., M.D.
Steven A. Archibald, M.D.
Shannon E. Ardoin, M.D.
Alan L. Ashinhurst, R.T.
William E. Ashley, M.D.
Michael K. Atalay, M.D., Ph.D.
Robert Atkinson
Francisco Avendano, M.D.
Kenneth E. Averill Jr., M.D.
Lucilo Avila Pessoa, M.D.
Nami R. Azar, M.D.
Luis Azpeitia, M.D.
Donald M. Bachman, M.D.
Curtis W. Bakal, M.D., M.P.H.
Corinne Balleyguier, M.D.
Indraneel Banerji, M.D.
Rick Banner
Panagiotis Baras
Joe J. Barfett, M.D.
A. James Barkovich, M.D.
Christian Baron
Robert M. Barr, M.D.
Kevin Barrow
Else Bay
Brian Bedel
Continued on Next Page
March 2015 | RSNA News 16
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Richard D. Belkin, M.D.
Boris Berenstein, M.D.
David H. Berns, M.D.
Nissal Berrached
Efrain Betancourt, M.D.
Stefan A. Beyer-Enke, M.D.
Dewinder Bhachu
Rikki Bhachu
Matt Bierbaum
Jeremy Bittner
Dominique Blanc, M.D.
Sarah A. Bochar, M.D.
Eric Bonnard, M.D.
Jan M. Bosmans, M.D., Ph.D.
Karim Boussebaa
John S. Bowen, M.D.
Erin M. Bowman, M.D.
Eileen Brazelton
Esteban Briceno Voirin, M.D.
Jane Brill
Debra Brody
Linda Brooks
Barry Broussard
Stephen D. Brown, M.D.
Ronda Bruce
Douglas A. Brylka, M.D.
Thomas C. Bryson, M.D.
Nuria Bueno
Sandra Burghardt
Bradford S. Burton, M.D.
Christine Buss
Gregory J. Butler, M.D.
Tracy Byers
Rogerio Caldana, M.D., Ph.D.
Edward C. Callaway, M.D.
Lisa V. Campos, M.D.
Luis A. Campos, M.D.
Elizabeth T. Cancroft, M.D.
Ignacio Cano-Munoz, M.D.
Guang Cao
Walter Carels
Mauricio Carlos, M.D., Ph.D.
Sue Carnes
Christopher Carr
Charles Cassudakis
Jose-Maria Castellon
Alan R. Cavalcante, M.D.
Chloe Chalayer, M.D.
James Chang
Yeun-Chung Chang, M.D.
Brian H. Ching, D.O.
Waite Chris
Cynthia L. Christoph, M.D.
Terry Chung, M.D.
Anthony Chung-Bin
Christina M. Cinelli, M.D.
Glen O. Clarke, M.B.B.Ch., R.R.A.
Diego Colas
Zidnia M. Conde-Colon, M.D.
Joseph Conner
Benjamin Z. Cooper, M.D.
Joao Correa
Laura Costello
William F. Coughlin III, M.D.
Andy Craven, B.S., M.B.A.
Wim Crooijmans
Alberto Cuevas, M.D.
Claude Cusson
Danilo R. da Silva, R.T.
John E. D'Abreo, M.D.
Henri Dahan, M.D.
Anneloes Dalenoort
Ashley Daly
Mary C. Daniels
Ian C. Davey, M.B.B.Ch.
Natasha Davidson
Kirkland W. Davis, M.D.
Melissa B. Davis, M.D.
Susanne Daye, M.D.
Nicolas Dehlinger
Andre Dehmel
George Dejarnette
Stephane L. Delaunay, M.D.
17 RSNA News | March 2015
Niranjan S. Desai, M.B.Ch.B.
Brian P. Deuell, M.D.
Nripendra C. Devanath, M.D.
Paola Devis, M.D.
Shenan Dhanani
Kardelina Diaz, M.D.
Antonio L. Diaz-Rivera, M.D.
Frank Dilalla
Joseph P. Dillard, M.D.
Stephan Dippold
Bao H. Do, M.D.
Maria Thea V. Dolar, M.D.
Dolores Dominguez-Pinos, M.D.
Salvatore Donatiello, M.D.
Sarsfield P. Dougherty, M.D.
Marcus Drews
James R. Duncan, M.D., Ph.D.
Emily A. Dunn, M.D.
Anne P. Dunne, M.D.
Jacob S. Durgan
Andrew P. Durkin, M.D.
Matthew T. Eakins, M.D.
Jennifer Eberhart
Andre L. Edwards, M.D.
Muneer Eesa, M.B.B.S.
Mai A. Elezaby, M.D.
Lee Ellingburg
Wayne Elliott
Masahiro Endo, M.D.
Birgit B. Ertl-Wagner, M.D.
Virginia Eschbach, M.D.
Peter T. Evangelista, M.D.
Scott A. Fargher, M.D.
Edward J. Farmlett, M.D.
Mohammed A. Fatani, M.B.B.S.
Sheldon P. Feit, M.D.
Richard E. Felker, M.D.
James Ferretti, D.O.
Nigel Fetter, M.D.
Arnt-Rene Fischedick, M.D.
Francis T. Flaherty, M.D.
Adam E. Flanders, M.D.
Nicholas C. Fraley, M.D.
Vincent Franch
Susan J. Frank, M.D.
Nicholas Frankel, M.D.
Richard J. Friedland, M.D.
Denise Friedman
Guy Frija, M.D.
Scott Galbari
Jerome Galbrun
Annabel Galva, M.D.
Robert C. Game, M.D.
Luis F. Gandara Rey, M.D.
Xavier Garcia-Rojas, M.D.
Lester Gardner
Cameron H. Gates Jr., D.O.
Coley Gatlin, M.D.
William G. Gawman, M.D.
Richard W. Geldmeier, M.D.
Diane Georgelos
Jim Georgi
Ronald J. Gerstle, M.D.
Nichole Gerszewski
Hassen A. Gharbi, M.D.
Jacob Giannotti
Maryellen L. Giger, Ph.D.
Michael A. Gilbert, D.O.
Ritu R. Gill, M.B.B.S.
Daniel J. Gillespie, M.D.
Juan M. Gimenez, M.D.
Alexander K. Girevendulis, M.D.
Amber J. Gislason-Lee, M.Sc.
Jill Glombowski
Hideo Gobara, M.D.
Christopher S. Goettl, M.D., M.B.A.
Daniel W. Golden, M.D.
Kimberly J. Goldman, R.T., B.S.
Antonio Carlos P. Gomes, M.D.
Angel A. Gomez-Cintron, M.D.
Jose A. Goncalves, M.D.
Alberto Gonzalez, M.D.
Hernan Gordillo, M.D.
Melvyn Greberman, M.D., M.P.H.
Mary-Louise C. Greer, M.B.B.S.,
F.R.A.N.Z.C.R.
Thomas S. Griggs, M.D.
Mark J. Gripp, M.D.
Scott R. Grosskreutz, M.D.
Manfred Gruenke, M.D.
Amy B. Guest, M.D.
John J. Guido, M.D.
Lourdes Guillen Vargas, M.D.
Alexander R. Guimaraes, M.D., Ph.D.
Soterios Gyftopoulos, M.D.
Kimberly Haas
Amos Q. Habib, M.D.
Gerhard Haertl
Joachim Haessler
Munetaka Haida, M.D., Ph.D.
Feras I. Hakeem, M.B.B.S.
Robert L. Haley Jr., M.D.
Josef Hallermeier, M.D.
Christiane Harms
Alex Heil
John Heil, B.A.
Thomas Heinrich
Frederic J. Hellwitz, M.D.
Patrick R. Henderson, M.D.
Guinel Hernandez Filho, M.D.
Marta Hernanz-Schulman, M.D.
Daniel R. Hightower, M.D.
Doerte Hilcken
Michael W. Hill, M.D.
Todd H. Hillman, M.D.
Susan K. Hobbs, M.D., Ph.D.
Lynn T. Hoff
Gerard J. Hogan, M.D.
Patricia Holland
Kim Holttum
Frank G. Hoogenraad, Ph.D.
Kristina E. Hoque, M.D., Ph.D.
Maria Houchins
Glenn A. Huettner, M.D.
Joe M. Hulsey, M.D.
Guo-Long Hung, M.D.
Ryan W. Hung, M.D., Ph.D.
James W. Husted, M.D.
Muneeb S. Hydri, M.B.B.S.
Jason D. Iannuccilli, M.D.
Hirotaka Ikeda, M.D.
Herbert M. Imalingat, M.B.Ch.B.
Marc F. Inciardi, M.D.
Klaus L. Irion, M.D., Ph.D.
Omar Syed Islam, M.D.
Scott Jacobs, R.T.
Mette Jansson
Barbara Jarr
David T. Jeck, M.D.
Jim Jeffery
Elizabeth A. Jett, M.D.
Thorsteinn R. Johannesson
Amanda Johnson
Ashley Johnson
Bradley L. Johnson, M.D.
Charlotte Johnson
Jason M. Johnson, M.D.
Todd Johnson
Thomas R. Jones, M.D.
Neal Joseph, M.D.
Dave Joslin
Tarzis Jung
Dominik Juskanic, M.D.
Meher R. Juttukonda
Yazan K. Kaakaji, M.D.
Mannudeep K. Kalra, M.D.
Ayse T. Karagulle Kendi, M.D.
Boaz Karmazyn, M.D.
Darius A. Keblinskas, M.D.
Mark W. Keenan, M.D.
Tim Kenney
Nadeem Y. Khan
George M. Khoury, M.D.
Patrick Kiely, M.B.B.Ch.
Tae Kyoung Kim, M.D., Ph.D.
Young Kwon Kim, M.D.
Eric T. Kimura-Hayama, M.D.
Aida K. Kiviniemi, M.D.
Kolleen A. Klein
David A. Koff, M.D.
Kanji Kojima, M.D.
Rebecca Kolawole, F.R.C.R., F.R.C.P.C.
Ronald B. Kolber, M.D.
Sheela D. Konda, M.D., Ph.D.
Uwe Kostendt
Axel Kouril
Yeamie M. Kousari, M.D., M.A.
Rachel E. Krackov, Ph.D., B.S.
Gabriel P. Krestin, M.D., Ph.D.
Aaron Kulater
Mike Lachance
Annie P. Lai, M.D.
Lucie Lalonde, M.D.
Robert G. Lambert, M.B.B.Ch.
Theodore C. Larson III, M.D.
In honor of Robert M. Kessler, M.D.
Fred D. Lassiter, M.D.
Loren E. Laybourn, M.D., M.S.E.E.
Nora G. Lazar, M.D.
Monica B. Lazcano, M.D.
Sena Leach
Christina A. LeBedis, M.D.
Jenny L. LeBoeuf, M.D.
Kenneth S. Lee, M.D.
Lo-Yeh Lee, M.D.
Wen-Jeng Lee, M.D., Ph.D.
Joshua J. Leeman, M.D.
Emmanuelle Lemercier, M.D., F.R.C.P.C.
Robert F. Leonardo, M.D.
Andrew R. Levine, M.D.
George J. Lewis, M.D.
Yi Li, M.D.
Giuseppe Licata
Scott Lieberman, M.D.
Denis R. Lincoln, M.D.
Otha W. Linton, M.S.J.
Rouven Lippe
Noam Littman, M.D.
Colleen Liu
Roberto Lo Gullo, M.D.
Maria Gabriela Longo
Ana P. Lourenco, M.D.
Dianfeng Lu
Chenpeng Luan
Kent Lutian
Loralie D. Ma, M.D., Ph.D.
Marijke Maartense
Youichi Machida, M.D., Ph.D.
Andrew B. MacKersie, M.D.
Madhumala Madhavan, M.B.B.S., M.D.
In honor of Veerappa Madhavan, M.A.,
M.S., B.Ed.
Javed I. Malik, M.B.B.S.
Alejandro A. Mancilla, M.D.
Mike Mancuso
Piotr J. Maniawski, M.Sc.
Allison Maples
Gustavo F. Marconi, M.D.
Milton Margulies, M.D.
Jan Marti
Mary Martin
Peter Martin
Ronald J. Martin, M.D.
Juan Martinez
Santiago Martinez-Jimenez, M.D.
Daniel G. Massey
James E. Masten, M.D.
Kristen Mather
Tobias Mathies
John R. Mathieson, M.D.
Charles C. Matthews, M.D.
Takashi Mazuzawa
Danielle M. McCann
Ryan McCartney
Mary Ann O. McClain
Elizabeth G. McFarland, M.D.
Molly McManus
Joseph S. McNally, M.D., Ph.D.
Michael P. McNamara Jr., M.D.
Brian McNamee, M.D.
Josue Medina, M.D.
Dhruv Mehta, M.S.
Continued on Page 20
Radiology in Public Focus
Press releases were sent to the medical news media for the following article appearing in
a recent issue of Radiology.
Diagnostic Yield of Recommendations for
Chest CT Examination Prompted by Outpatient
Chest Radiographic Findings
A radiologist recommendation for chest CT to evaluate an
abnormal finding on an outpatient chest radiographic examination has a high yield of clinically relevant findings, including
newly discovered malignancy, new research shows.
H. Benjamin Harvey, M.D., J.D., of Massachusetts General
Hospital in Boston, and colleagues used the department’s
radiology information system (Centricity; GE Healthcare) to
query for all outpatient diagnostic imaging examinations with
chest radiographic examination codes performed and interpreted at the institution in 2008.
Of chest CT examinations performed within one year of the
recommendation, 41.4 percent (286 of 691 [95 percent confidence interval {CI}: 37.7 percent, 45.2 percent]) detected a corresponding abnormality that required treatment or further diagnostic work-up and 8.1 percent (56 of 691 [95 percent CI: 6.2
percent, 10.4 percent]) detected a corresponding abnormality
that represented a newly diagnosed, biopsy-proven malignancy.
“Because the U.S. health care system is shifting from volume-driven to value-based payment models, it is increasingly
important for the radiology community to validate the clinical
effect of its work,” the authors write. “Our study demonstrates
Examples of lesions seen
on chest radiographic
images that prompted
a recommendation for
chest CT examination
and the corresponding
abnormality on chest
CT. A nodular opacity
(arrow) is seen
projecting over the right
posterior ninth rib in
the chest radiographic
image of a 50-year-old
woman who presented
with cough.
(Radiology 2015;275;1:InPress)
©RSNA 2015 All rights reserved
Printed with permission.
that chest CT examinations obtained within one year of recommendations for additional imaging (RAIs) are associated with
a high diagnostic yield of clinically relevant findings, and one
in every 13 examinations yielded a previously unknown malignancy. These findings suggest that RAIs for chest CT examinations prompted by outpatient chest radiographic examinations
represent a valuable contribution to patient care.”
MARCH PUBLIC INFORMATION OUTREACH ACTIVITIES FOCUS
ON COLORECTAL CANCER
To highlight National Colorectal Cancer Awareness Month in March, RSNA is distributing radio public service announcements
(PSAs) encouraging listeners to be screened for colorectal cancer.
In addition, RSNA is distributing the “60-Second Checkup” audio program to nearly 100 radio stations across the United States.
The segments focus on knowing the risks, symptoms and diagnostic methods of colorectal cancer.
Media Coverage of RSNA
In November, 2,335 RSNA-related news stories were tracked in the media. These stories
reached an estimated 280 million people.
A study published online in Radiology received widespread attention in the press
during October and November. “Right Arcuate Fasciculus Abnormality in Chronic Fatigue
Syndrome” was covered by more than 766 print, broadcast and online outlets, including The
New York Times, The Huffington Post, Yahoo! News, U.S. News & World Report, KCBS-TV (Los
Angeles), KCAL-TV (Los Angeles), KING-TV (Seattle), Newsday, Today.com and CNN.com.
Outlets covering other RSNA-related news stories included The New York Times,
WGN-TV (Chicago), WPVI-TV (Philadelphia), Reuters.com, Boston.com, CNBC.com, Medical
News Today, Auntminnie.com and MedicineNet.com.
RadiologyInfo.org on Social Media
Have you connected with RadiologyInfo.org on Facebook and Twitter? Get the latest
information and news to share with your patients by liking Facebook.com/RadiologyInfo
and following Twitter.com/RadiologyInfo.
March 2015 | RSNA News 18
NEWS YOU CAN USE
Journal Highlights
The following are highlights from the current issues of RSNA’s two peer-reviewed journals.
The Developing Asymmetry: Revisiting a Perceptual and Diagnostic Challenge
Step obliques were performed at
Developing asymmetry is an important and challenging
15° increments, starting from the
mammographic finding, associated with a moderate risk of
CC view where the lesion is seen
malignancy. Biopsy is nearly always indicated if the find(0°), and the lesion (circled) is
ing persists following diagnostic evaluation.
“followed” into the upper breast.
In an article in the March issue
Knowing the region of interest,
of Radiology (RSNA.org/Radiology),
spot compression magnification
Elissa R. Price, M.D., Bonnie N.
views can then be obtained in
Joe, M.D., Ph.D., and Edward A. Sickles, M.D., of the Unisteeper obliquities to demonstrate
versity of California-San Francisco, clarify and review:
the location of the abnormality
(circled). The finding, now
• The defining features of a developing asymmetry
identified on two views, is best
• Tools to facilitate its appropriate identification and evaltermed a developing asymmetry.
uation at mammography and sonography
No US correlate was identified.
• Relevant percutaneous biopsy considerations
Stereotactic biopsy was performed
• Benign and malignant pathologies that may present as
and postbiopsy mammogram
developing asymmetries
confirms accurate targeting (J).
The likelihood of underlying cancer when a developing
(Radiology 2015;274;3:642–651) ©RSNA 2015
All rights reserved. Printed with permission.
asymmetry is identified at screening mammography is
12.8 percent, and when identified at diagnostic mammography (performed for evaluation of a symptom or performed for short interval follow up of a probably benign lesion, of a benign
concordant biopsy, or in the first five years following breast conservation surgery) is 26.7 percent.
“Developing asymmetries are often subtle mammographic findings. They are more likely to be perceived as abnormal when
multiple prior examinations are compared side-by-side with the current study. The finding needs to be confirmed as a true abnormality (not representing summation artifact) by depiction on at least two different mammographic projections,” the authors write.
This article meets the criteria for AMA PRA Category 1 Credit™.SA-CME is available online only.
Mammographic Breast Density: Impact on Breast Cancer Risk and Implications for Screening
Mammographic breast density is rapidly
becoming a hot topic in both the medical literature and the lay press. In the
U.S., recent legislative changes in 19
states now require radiologists to notify
patients regarding breast density as well
as the possible need for supplemental
screening.
Federal legislation regarding
breast density notification has been
introduced, and its passage is likely on
the horizon.
An understanding of the context,
scientific evidence, and controversies
surrounding the topic of breast density
as a risk factor for breast cancer is
critical for radiologists, according to
Phoebe E. Freer, M.D., of Massachusetts
General Hospital, author of an article in
the March-April issue of RadioGraphics
(RSNA.org/RadioGraphics).
As the interpreting physician for
screening mammography, the radiologist
is, by default, at the epicenter of conversations with patients and providers
regarding breast density.
Breast density legislation is
due, in large part, to patientdriven advocacy and the desire
to seek more information. For
radiologists, this brings a wonderful opportunity to enhance
patient health and increase the
number of beneficial discussions with the patient and her
health care provider.
The benefit of increased information will be realized, however, only if a patient is guided
appropriately and understands
the risks, benefits, and supporting medical evidence (or
lack of evidence) regarding
her options.
“As breast density legislation becomes more widespread
and perhaps national, it is critical that
radiologists continue to practice evidence-based medicine and ensure that
the benefits of any additional testing
offered outweigh the risks. Further,
breast imagers must take the lead in
advancing current knowledge with evi-
This article meets the criteria for AMA PRA Category 1 Credit™.SA-CME is available online only.
19 RSNA News | March 2015
Normal right
craniocaudal
screening
mammogram,
obtained after the
patient underwent
a gastric bypass
procedure and
experienced
extreme weight
loss, shows
extremely dense
breast tissue.
(RadioGraphics
2015;35;InPress)
©RSNA 2015 All rights
reserved.
Printed with
permission.
dence-based studies that help guide
decision making in tailored screening
and in establishing evidence-based standards,” the author writes.
This article features an Invited Commentary by Reni S. Butler, M.D., Department of Diagnostic Radiology, Yale University School of Medicine, New Haven,
Connecticut.
“Respiratory Motion Artifact Affecting Hepatic Arterial Phase MR Imaging with Gadoxetate
Disodium Is More Common in Patients with a Prior Episode of Arterial Phase Motion
Associated with Gadoxetate Disodium,” Mustafa R. Bashir, M.D., and colleagues.
Listen to Radiology Editor Herbert
Y. Kressel, M.D., deputy editors and
authors discuss the following articles
in the January issue of Radiology at
pubs.rsna.org/page/radiology/podcasts:
“In a discussion from the RSNA 2014 annual meeting, Radiology Editor Herbert Y. Kressel,
M.D., and Deputy Editor Deborah Levine, M.D., interview Anna E. H. Zavodni, M.D.,
who—along with her co-authors—was awarded the 2014 Alexander R. Margulis Award for
Scientific Excellence, for the article, “Carotid Artery Plaque Morphology and Composition
in Relation to Incident Cardiovascular Events: The Multi-Ethnic Study of Atherosclerosis
(MESA),” published in Radiology in May 2014. Co-author David A. Bluemke, M.D.,
Ph.D., is also interviewed for the Podcast.
R&E Foundation Individual Donors
Rogerio C. Meirelle, M.D.
Mitchell J. Mendrek, M.D., M.S.
Cecilia L. Mercado, M.D.
Neil Mesher
Catherine Metz, M.D.
Brendan J. Meyer, M.D.
Anna F. Meyerson, M.D.
Konstantinos Michailidis, M.D.
Peter R. Miller, M.D.
Romney Miller, M.D.
Michelle M. Miller-Thomas, M.D.
Marijo Millette
Raymundo Miranda
Pamela Mitchell
Robert G. Mitchell, M.D.
Tosiaki Miyati, Ph.D.
Virginia M. Molleran, M.D.
Kyle Mooney
Harry L. Morrison III, M.D., Ph.D.
Kathi Mueller, B.A., R.T.
Mark E. Mullins, M.D., Ph.D.
Kirk V. Myers, D.O.
Christian Neumann
Ole Neumann
Carolina A. Neves, M.D.
Rich Newsome
Kim-Son Nguyen, M.B.B.S.
Marie Nguyen
Flemming Nielsen
Kurt Nielsen
Marcel Nienhuis
Jennifer Nimhuircheartaigh, M.B.B.Ch.
Hiroshi Nishimura, M.D.
Katia H. Nishiyama, M.D.
Cori Niskala
Chuck Nortmann
Mari Nummela, M.D.
Ogonna K. Nwawka, M.D.
Abdulmunhem K. Obaideen, M.D.
Jack Oblein
Daniel Ocazionez, M.D.
Stephen C. O'Connor, M.D.
Alan E. Oestreich, M.D.
Ana Luiza Oliveira
Mereau Olivier
Frederick R. Olson, M.D.
Ifeanyi C. Onyeacholem, M.D.
Masakazu Osada, Ph.D.
Roberto Oyanedel
Orhan S. Ozkan, M.D.
Maer B. Ozonoff, M.D.
Leonardo Packer
Satu Paivike
Lena S. Pari, M.D.
Hye Sun Park, M.D.
Moury Pascale
David D. Pasquale, M.D.
Mary Path
Maria C. Patricio, M.D.
Timo Paulus
Rick Penny
John H. Penuel, M.D.
Roberto C. Perez, M.D.
Kenneth R. Persons, M.S.
Sophia B. Peterman, M.D., M.P.H.
Michael C. Peters, M.D.
Cheryl A. Petersilge, M.D.
Continued from Page 17
Rebecca A. Peterson, M.D.
Timothy M. Pfeifer
Douglas E. Pfeiffer, M.S.
Marcel O. Philipp, M.D.
Michelle Pinette
Robert J. Pizzutiello Jr., M.D.
Charles P. Pluto III, M.D., Ph.D.
Joy Polefrone
Alan J. Poole, M.D.
Duncan Porter
Arthur Post Uiterweer
Francesco Potito, M.D.
Ignacio N. Poyo, M.D.
Ivan Prado Zillig
Bruce Precious, M.D.
Robert A. Princenthal, M.D.
Bianca Pulic
Andrei S. Purysko, M.D.
Carlo Cosimo Quattrocchi, M.D., Ph.D.
Michael Quinn
Pamela Quinn
In memory of Carol Lazaroff
Sridharan R
Alessandro G. Radaelli, Ph.D., M.S.
Arjen Radder
Gesa Radtke
Linda Rago
Andres Rahal, M.D.
Paul Ramirez, M.D.
Laura Randall
Katja M. Rannio, M.D.
Roberta Ranzo
M.V. R. Rao, M.D.
Myra I. Rapoport, M.D.
Sreenivas G. Reddy, M.D.
James C. Reed, M.D.
In memory of Mary Anne Maynard
Bob Reese
Tim Regan
Sebastian Reinartz, M.D.
Todd Reinke
David Resser
Michael Thomas E. Ricarte, M.D.
Erica Riedesel, M.D.
Nelson Riggs
Jeff Riley
Lawrence H. Robinson, M.D.
Daniel Romeu Vilar, M.D.
Adi Ron
Andrea J. Rothe, M.D.
Christopher Rothstein, M.D.
Miguel J. Rovira, M.D.
Sergey Rud, M.D.
Lynne Ruess, M.D.
Phillip G. Russell, M.D.
Iwona Rzymska-Grala, M.D.
John Saali
Gianni Saguatti, M.D.
Benjamin S. Salter, M.D.
Scott A. Sandberg, M.D.
Sylvain Sans
Bital Savir-Baruch, M.D.
James R. Sayre, M.D.
David A. Scaduto, M.S., B.S.
Christoph Schaeffeler, M.D.
Claus Schaffrath
Aaron Schein, M.D.
Susann E. Schetter, D.O.
Peter Schmidt, M.D.
Jennifer Schmitt
Kelli R. Schmitz, M.D.
Jens Schneider, M.D.
Steven L. Schneider, M.D.
Virginia C. Schreiner, M.D.
Scott B. Schuber, M.D.
Ron Sciepko
Andrew D. Scott, M.D.
Joseph V. Scrivani, M.D.
Timothy H. Seline, M.D.
Veronica Selinko, M.D.
Kitt Shaffer, M.D., Ph.D.
Mahmoud Z. Shahin, M.D.
Eglal Shalaby-Rana, M.D.
Kirill Shalyaev, Ph.D.
Jonathan M. Shapiro, M.D.
Lucas M. Sheldon, M.D.
Wei Hung Shih
Talmage L. Shill, M.D.
Andrew J. Shin, M.D.
Anna Shmukler, M.D.
Amber Sieffert
Dom Siewko
Richard J. Silberstein, M.D.
Gary E. Simmons, M.D.
John Simmons
Harshwinder Singh, M.B.A.
Kimberly Slagle, R.N.
Barbara S. Smet, M.D.
Maxim Smirnov
Bob Smith
Bruce A. Smith, M.B.Ch.B.
Courtney Smith
Darryl D. Smith, M.D.
Jacqueline Smith, M.D.
Mark A. Smith, M.S., A.R.R.T.
Jamie Smolinski
Katherine Snow
Wes Solmos
Felipe F. Souza, M.D.
Darko Spoljaric
Geraldo M. Starling Filho, M.D., Ph.D.
Niccolo Stefani
Harm Jan Stellingwerff, M.D., M.Sc.
Michael A. Stewart, M.D.
Randall H. Stickney, M.D.
Evgeny Strovski, M.D.
Julianne Suhy
Janet Swanson
Yasuo Takehara, M.D.
Jose S. Tandoc, M.D.
Masato Tanikake, M.D.
James L. Tatum, M.D.
Satoru Tazawa, M.D.
Mariangela L. Tejerina, M.D.
Sibin Thachet, M.D.
Kyle M. Tharp, M.D.
Sarah Thomas
Matthew J. Thomson, M.D.
Lise Thorsby, CAE
W. P. Tinkler, M.D.
Bill Titus
Jaroslaw N. Tkacz, M.D.
Hayato Tomita
Alphonse A. Tran, M.D., F.R.C.P.C.
Lynn M. Trautwein, M.D.
Roberta Trevisan, M.D.
Kyo Tsuda, M.D.
Sabah S. Tumeh, M.D.
Bruce S. Turlington, M.D.
Hiroyuki Ueda, M.D.
Raditya Utomo
Jonathan J. Uy, M.D.
Rajendra P. Valiveti, M.D.
James Valliant
Martine Van Alfen
Erik Van Houwenis
Bert Van Meurs
Marion van Vliet, M.D.
Adam Vanderwall
Francisco C. Vargas, M.D.
Publio J. Vargas, M.D.
Bonny Varghese, M.D., F.R.A.N.Z.C.R.
Vasantha Vasan, M.D.
Wolfgang I. Vasquez Rangel Sr., M.D.
Frans Venker
Jorge E. Vera Sr.
Louise Verheij Van Wijk
Richard I. Vigran, M.D.
Marco H. Villanueva-Meyer, M.D.
Cecilia J. Villasante Luna, M.D.
Johan Vooren
Shinji Wada, M.D.
Holly Wagner
Peter J. Waibel, M.D.
James Walchenbach
Ryan Walklin, M.B.Ch.B.
Mark Waller
Christian P. Wanamaker, M.D., Ph.D.
Jean C. Wang, M.D.
Lilian Wang, M.D.
Ewa M. Wasilewska, M.D.
Justin R. Waters, M.D.
James H. Watt, M.D.
Zhang Wei
Jean M. Weigert, M.D.
Irwin D. Weisman, M.D.
Melissa Wendoll
Jill S. Westercamp, M.D.
David Weston
Peter Weston
Kurt H. Wetzler, M.D.
Lewis Wexler, M.D.
Richard E. Whitehead, M.D.
Alison Wilcox, M.D.
Jeff Williams
Lindsey B. Wilson, M.D.
Mark Wilson
Myran Windham
Erin Wold
Edward Y. Wong, M.D.
Richard J. Wunder, M.D.
Ge Xu
Maosheng Xu, M.D.
Thaddeus M. Yablonsky, M.D.
Alvin J. Yamamoto, M.D.
Vivienne Yao
Mark M. Yeh, M.D., M.S.
Steven C. Yuill, M.D.
Yong Zhou
Daniel L. Zinn, M.D.
David Zion
March 2015 | RSNA News 20
NEWS YOU CAN USE
Education and Funding Opportunities
Demonstrate Your Leadership Skills:
Earn an ARLM Certificate of Achievement
Radiologists looking to take the next big step in their careers can
solidify their commitment to leadership excellence by earning an Academy of Radiology Leadership and Management (ARLM) Certificate of
Achievement. This award demonstrates dedication to gaining professional leadership skills and an effort towards
becoming a leader among your colleagues.
Earn the certificate by completing ARLM-approved courses, both in-person and online. Several new courses were added to the online catalog and can
be found at www.radleaders.org.
Each ARLM-approved course meets one or more of the elements of identified key learning domains,
each representing an integral part of a well-rounded leadership curriculum. Participants must earn at
least 50 education credits—including at least 30 credits in-person—within a three-year period. A minimum of three credits in each of the core learning domains is required.
Spring 2015 In-Person Meetings with ARLM-approved Courses:
• Association of University
Radiologists 63rd Annual Meeting
April 14-17, 2015
New Orleans Marriott
New Orleans, Louisiana
• American Roentgen Ray Society
(ARRS) 2015 Annual Meeting
April 19-24, 2015
Metro Toronto Convention Centre
Toronto, ON, Canada
• American College of Radiology
(ACR) 2015 Annual Meeting
May 17–21, 2015
Marriott Wardman Park Hotel
Washington, DC
Nomination Forms for IRIYA at RSNA 2015 Now Available
Deadline for
Nomination
April 15, 2015
Young radiologists from around the world with research interests are finding the
RSNA Introduction to Research for International Young Academics (IRIYA)
program to be a beneficial step in attaining their goals.
“This is a really good, highly-organized program,” said Chong Hyun
Suh, M.D., a fourth-year resident at Asan Medical Center in Seoul, South
Korea, who was accepted to the IRIYA program during RSNA 2014. “It's
a good opportunity to learn basic research. I learned a lot from not only
the speakers but also the other participants.”
The four-day seminar held at each RSNA Annual Meeting encourages
young radiologists from countries outside the U.S. and Canada to pursue
careers in academic radiology by:
• Introducing residents and fellows to research early in their training
• Demonstrating the importance of research to the practice
and future of radiology
From left: Amy Sevao, M.D., Mickael Ohana, M.D., and
Chong Hyun Suh, M.D., at the RSNA 2014 IRIYA seminar.
• Sharing the excitement and satisfaction of research careers in
radiology
• Networking with successful radiology researchers, future colleagues and potential mentors
“IRIYA provides a good stimulus to young researchers,” Dr. Suh said. “I would highly recommend it to our colleagues in Korea.”
Nominations are now being accepted for IRIYA during the 2015 RSNA Annual Meeting. The RSNA Committee on International
Radiology Education (CIRE) recommends 15 young academics for consideration by the RSNA Board of Directors each year.
Eligible candidates are residents and fellows currently in radiology training programs or radiologists not more than two years out of
training from outside the United States and Canada, who are beginning or considering an academic career. Nominations must
be made by the candidate’s department chairperson or training director. Fluency in English is required.
Selected candidates receive complimentary registration, shared hotel accommodations and a travel stipend to defray the cost
of air fare.
21 RSNA News | March 2015
Medical Meetings March-April 2015
MARCH 21-25
American Institute of Ultrasound in Medicine
(AIUM), Annual Convention and host of the
World Federation for Ultrasound in Medicine
and Biology Congress (WFUMB), Walt Disney
World Swan & Dolphin Resort, Lake Buena
Vista, Florida
• www.aium.org
MARCH 22-27
Society of Abdominal Radiology (SAR), Annual
Scientific Meeting and Educational Course,
Hotel del Coronado, Coronado (San Diego),
California
• www.abdominalradiology.org
Visit the RSNA Booth
MARCH 22-27
International Diagnostic Course Davos (IDKD),
47th IDKD, Diseases of the Chest and Heart,
Convention Center Davos, Switzerland
• www.idkd.org
APRIL 9-11
American Brachytherapy Society (ABS),
Annual Meeting, Orlando Renaissance Sea
World, Orlando, Florida
• www.americanbrachytherapy.org
APRIL 10-12
American Society for Radiation Oncology
(ASTRO), 2015 State of the Art Radiation
Therapy (START) Meeting, Las Vegas, Nevada
• www.astro.org
APRIL 11-14
American Physical Society (APS), April
Meeting 2015, Baltimore, Maryland
• www.aps.org
APRIL 12-16
Healthcare Information and Management
Systems Society (HIMSS), Annual Conference and Exhibition (HIMSS15), McCormick
Place, Chicago
• www.himss.org
APRIL 14-17
Radiological Society of North America
(RSNA), Association of University Radiologists (AUR), Joint Sponsored 63nd Annual
Meeting, in conjunction with SCARD, APDR,
A3CR2, ACER, AMSER, RAHSR, RRA, APCR,
SNMMI, New Orleans Marriott,
New Orleans, Louisiana
• www.aur.org
APRIL 16-19
Japan Radiological Society (JRS), 74th
Annual Meeting in conjunction with the 71st
Annual Scientific Congress of Japanese
Society of Radiological Technology, the 109th
Scientific Meeting of Japan Society of
Medical Physics, and the International
Technical Exhibition of Medical Imaging 2015,
Pacifico Yokohama, Japan
• www.congre.co.jp/jrs74/eng/
APRIL 17-20
Australian and New Zealand Society of
Nuclear Medicine (ANZSNM), 45th Annual
Scientific Meeting, Brisbane Convention and
Exhibition Centre, Brisbane, Queensland
• anzsnm2015.com.au
FIND MORE EVENTS AT
RSNA.org/Calendar.aspx.
REGISTRATION FOR 2015 CORE WORKSHOP OPENS APRIL 1
The 2015 Creating and Optimizing the Research Enterprise (CORE) workshop will take place Oct. 2-3,
2015, in Oak Brook, Ill.
The workshop will focus on strategies for developing and/or expanding research programs in radiology, radiation oncology
and nuclear medicine departments. New sessions include “Managing Research Finances in the Era of Constrained Resources”
and “Building Diversity in Imaging Research.”
The CORE program features a combination of presentations, case studies and group discussions.
For more information and to register for this free workshop, go to RSNA.org/CORE.
Residents & Fellows Corner
RadioGraphics Compiles Articles
Helpful for Core Exam Study
A new online index of RadioGraphics articles is designed
to help members-in-training studying for the diagnostic
radiology examination administered by the American Board
of Radiology (ABR).
With approval from the ABR Board of Trustees, Jennifer A. Harvey, M.D., and Sanjeev Bhalla, M.D.,
RadioGraphics editorial board members for Resident and Fellow Education, worked with volunteer
experts to select appropriate articles published in the journal over the past 10 years and index them
according to the radiology subspecialties and topics outlined in the ABR Diagnostic Radiology CORE
Examination Study Guide.
The RadioGraphics ABR Diagnostic Radiology Core Exam Study Guide Article Index can be reached
from the journal home page at RSNA.org/RadioGraphics or accessed directly at pubs.rsna.org/page/
radiographics/abr-core-exam-study-guide.
March 2015 | RSNA News 22
NEWS YOU CAN USE
Annual Meeting Watch
RSNA 2015 Online Abstract Submission Open
The online system to submit abstracts for RSNA 2015 was activated in late January. The submission deadline is noon Central Time (CT) on Wednesday, April 8, 2015. Abstracts are
required for scientific presentations, education exhibits, applied science, quality storyboards and quantitative imaging reading room showcase.
To submit an abstract online, go to RSNA.org/abstracts.
The easy-to-use online system helps the Scientific Program Committee and Education Exhibits
Committee evaluate submissions more efficiently.
For more information about abstract submissions, contact the RSNA Program
Services Department at 1-877-776-2227 within the U.S. or 1-630-590-7774
outside the U.S.
Registration Fees
BY NOV. 6
Important Dates for RSNA 2015
AFTER NOV. 6
$ 0
$ 150
0
0
RSNA Member-in-Training, RSNA Student Member
and Non-Member Student
Non-Member Presenter
RSNA/AAPM Member
0
0
200
350
Non-Member Resident/Trainee
200
350
Radiology Support Personnel
900
1,050
Non-Member Radiologist, Physicist or Physician
900
1,050
Hospital or Facility Executive, Commercial Research
and Development Personnel, Healthcare Consultant
and Industry Personnel
325
325
One-day registration to view only the Technical
Exhibits
Wednesday, April 29
Wednesday, June 3
Wednesday, July 8
Friday, October 16
Friday, November 6
Wednesday, November 25
November 29 – December 4
Member registration and housing
open at 10 a.m. CT
Non-member registration and
housing open at 10 a.m. CT
Course enrollment open at
10 a.m. CT
Deadline for international
badge mailing
Final housing and discounted
registration deadline at 5 p.m. CT
Deadline to guarantee a seat for
all ticketed courses at 5 p.m. CT
101st Scientific Assembly &
Annual Meeting
Value of Membership
RSNA Offers Affordable Membership as
Residents Transition into Practice
Residents and fellows transitioning into practice will likely find a strong
incentive for maintaining their RSNA membership: reduced rates.
While members-in-training receive free RSNA membership, members transitioning from training qualify for greatly reduced rates during the first and second years of
practice—just $100 in year one and $200 in year two. It is not until the third year of practice that transitioning members pay standard membership dues.
The RSNA benefit gives residents time to settle into the profession before paying the full membership
fee. Under the program, transitioning members receive all the benefits of full membership, including
subscriptions to Radiology, RadioGraphics and RSNA News, free admission (with advance registration)
to the annual meeting and free access to online CME opportunities.
For more information about these reduced rates, contact the Membership Department at
1-877-RSNA-MEM (1-877-776-2636) or membership@RSNA.org.
23 RSNA News | March 2015
RSNA.org
Newest
Radiology Select
Volume Available
on RSNA.org
Visitors to RSNA.org can access the
entire Radiology Select series including the newest edition, Radiology
Select, Volume 6: Imaging of Joints,
introduced in February 2015.
Radiology Select is a continuing series of selected Radiology articles that highlight developments in imaging science, techniques
and clinical practice. Each volume focuses on a particular topic
important in the field and is supplemented by commentaries,
author interviews, podcasts and educational opportunities. Articles are personally selected by guest editor(s) for a comprehensive portfolio.
The Radiology Select homepage (RSNA.org/radiologyselect)
also features a video introduction from Series Editor Deborah
Levine, M.D., who explains the process of creating the series
Radiology Select,
collection as well as how to access the series in its online and
Volume 6, Guest Editor,
Thomas M. Link, M.D., Ph.D.
print formats.
Radiology Select, Volume 6: Imaging of Joints includes 25 articles with 22 tests for an
opportunity to earn up to 22 SA-CME credits. The volume gathers articles into sections
on the shoulder, the elbow and wrist, cartilage, the ankle and foot, and the knee, with an
emphasis on recent technical developments and newer concepts that all radiologists will
find useful in daily practice.
COMING NEXT MONTH
In April, we invite readers to explore the role of advanced imaging in unraveling the secrets of ancient
art and artifacts, including related benefits for research and education.
March 2015 | RSNA News 24
CALL FOR
ABSTRACTS
Present at RSNA 2015
Submit abstracts for scientific presentations,
applied science, education exhibits, quality
storyboards, and quantitive imaging
reading room showcase.
Deadline:
Wednesday, April 8, 2015
12:00 noon Chicago Time
Submit Online:
RSNA.org/Abstracts
November 29 − December 4
Questions? Call 1-877-776-2227 (within U.S.)
or 1-630-590-7774 (outside U.S.)
Includes sessions in joint sponsorship with the
American Association of Physicists in Medicine